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General NPI Number Information
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NPI Number | 1437816535
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Entity Type | Organization
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Legal Business Name | FREE COVID CARE
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 6423 N ROCKWELL ST
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City | CHICAGO
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State | IL
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Zip | 60645-5319
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Country | US
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Telephone | 833-219-7867
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Fax |
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Provider Business Mailing Address
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Address Line | 6423 N ROCKWELL ST
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City | CHICAGO
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State | IL
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Zip | 60645-5319
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Country | US
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Telephone | 312-883-7090
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYED NAVEED
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Credential |
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Telephone | 312-883-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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