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General NPI Number Information
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NPI Number | 1457512816
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Entity Type | Individual
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Provider Name | BILAL HAKAM SAFADI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 8909 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7039
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Country | US
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Telephone | 219-769-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 8909 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7039
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Country | US
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Telephone | 219-769-0054
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01066976A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 036135252
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 01066976A
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License Number State | IN
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