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General NPI Number Information
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NPI Number | 1477341766
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Entity Type | Organization
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Legal Business Name | NEXUS SUPPLY INC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 120B COLLEN DR
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 832-201-7854
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Fax |
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Provider Business Mailing Address
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Address Line | 120B COLLEN DR
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABDUL ZUBAIR
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Credential |
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Telephone | 832-201-8574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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