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General NPI Number Information
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NPI Number | 1437105145
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Entity Type | Individual
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Provider Name | SATTAR A HADI MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 1000 N WESTMORELAND RD
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City | LAKE FOREST
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State | IL
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Zip | 60045-1658
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Country | US
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Telephone | 847-234-5600
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Fax | 847-535-7203
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Provider Business Mailing Address
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Address Line | 275 THE CROSSROADS BLVD STE A
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City | CARMEL
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State | CA
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Zip | 93923-8685
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Country | US
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Telephone | 831-718-9701
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Fax | 847-535-7203
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | C168518
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 38155
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C168518
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 38155
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036115780
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License Number State | IL
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