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General NPI Number Information
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NPI Number | 1598942427
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Entity Type | Individual
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Provider Name | MANAL HAJALI OD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 502 WAVERLY DRIVE
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City | ELGIN
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State | IL
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Zip | 60120
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Country | US
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Telephone | 847-697-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 502 WAVERLY DRIVE
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City | ELGIN
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State | IL
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Zip | 60120
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Country | US
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Telephone | 847-697-7771
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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 | 046009959
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License Number State | IL
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