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General NPI Number Information
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NPI Number | 1578262671
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Entity Type | Individual
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Provider Name | HASSAN BASHIR
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Gender | Male
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 2525 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-2315
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Country | US
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Telephone | 314-724-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 17W708 BUTTERFIELD RD
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4358
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Country | US
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Telephone | 443-858-8824
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 051305062
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 26832
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License Number State | MD
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