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General NPI Number Information
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NPI Number | 1437826963
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Entity Type | Individual
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Provider Name | FATIMAH AL SHAIKHLI
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Gender | Female
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 6720 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60626-6060
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Country | US
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Telephone | 773-338-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 5 N WABASH AVE APT 304
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City | CHICAGO
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State | IL
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Zip | 60602-4721
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Country | US
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Telephone | 619-376-0016
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 319.022475
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License Number State | IL
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