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General NPI Number Information
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NPI Number | 1578720777
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Entity Type | Individual
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Provider Name | MOHAMMED A MUBEEN M.D.,
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Gender | Male
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 3002 N ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60657-3012
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Country | US
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Telephone | 773-296-3003
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Fax | 773-296-3002
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Provider Business Mailing Address
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Address Line | PO BOX 68698
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City | SCHAUMBURG
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State | IL
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Zip | 60168-0698
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Country | US
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Telephone | 773-296-3003
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Fax | 773-296-3002
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 54620-20
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License Number State | WI
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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 | 036129618
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036129618
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License Number State | IL
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