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General NPI Number Information
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NPI Number | 1497565121
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Entity Type | Individual
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Provider Name | KARIMA AMAL SAFSAF APRN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2041 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-8521
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Country | US
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Telephone | 312-624-8364
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Fax | 312-929-3323
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Provider Business Mailing Address
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Address Line | 2041 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-8521
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Country | US
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Telephone | 312-624-8364
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Fax | 312-929-3323
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 209030129
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License Number State | IL
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