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General NPI Number Information
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NPI Number | 1467475848
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Entity Type | Individual
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Provider Name | ABID KHURSHID M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 2500 S HIGHLAND AVE SUITE 325
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City | LOMBARD
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State | IL
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Zip | 60148-5363
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Country | US
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Telephone | 630-495-9810
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Fax | 630-495-9825
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Provider Business Mailing Address
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Address Line | 2500 S HIGHLAND SUITE 325
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City | LOMBARD
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State | IL
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Zip | 60148-2264
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Country | US
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Telephone | 630-495-9810
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Fax | 630-495-9825
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036083926
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 063-083926
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License Number State | IL
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