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General NPI Number Information
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NPI Number | 1467095703
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Entity Type | Individual
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Provider Name | MISS IFRAH HAMEED
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Gender | Female
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 1849 N DOCTOR M.L.K. JR DR# 101
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City | MILWAUKEE
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State | WI
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Zip | 53212
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Country | US
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Telephone | 414-347-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 W WANDA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53221-4054
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Country | US
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Telephone | 414-364-0463
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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