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General NPI Number Information
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NPI Number | 1508635376
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Entity Type | Organization
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Legal Business Name | INTEGRITMS PLLC
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 5225 OLD ORCHARD RD STE 36
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City | SKOKIE
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State | IL
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Zip | 60077-1027
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Country | US
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Telephone | 405-412-7263
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 DANADA CT
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City | NAPERVILLE
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State | IL
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Zip | 60563-2344
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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 | AUTHORIZED OFFICIAL
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Name | SAMIR KHAN
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Credential |
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Telephone | 405-412-7263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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