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General NPI Number Information
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NPI Number | 1437504768
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Entity Type | Individual
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Provider Name | ZAID FAROOQ D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2016
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1850 GATEWAY DR STE 203
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City | SYCAMORE
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State | IL
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Zip | 60178-3192
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Country | US
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Telephone | 815-766-3942
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Fax | 815-758-5482
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Provider Business Mailing Address
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Address Line | 1850 GATEWAY DR STE 203
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City | SYCAMORE
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State | IL
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Zip | 60178-3192
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Country | US
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Telephone |
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Fax |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036166716
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 02006403A
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License Number State | IN
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