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General NPI Number Information
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NPI Number | 1508189861
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Entity Type | Organization
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Legal Business Name | ASAD A BAKIR MDSC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 1112 LATHROP AVE
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City | RIVER FOREST
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State | IL
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Zip | 60305-1453
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Country | US
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Telephone | 708-937-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 LATHROP AVE
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City | RIVER FOREST
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State | IL
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Zip | 60305-1453
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Country | US
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Telephone | 708-937-1060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASAD A BAKIR
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Credential | M.D.
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Telephone | 708-937-1060
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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