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General NPI Number Information
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NPI Number | 1558295550
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Entity Type | Individual
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Provider Name | DANIAL ASIM O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 1588 N ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-3906
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Country | US
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Telephone | 847-392-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 471 OLD WALNUT CIR
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City | GURNEE
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State | IL
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Zip | 60031-5331
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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 |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046012090
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License Number State | IL
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