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General NPI Number Information
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NPI Number | 1689791543
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Entity Type | Individual
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Provider Name | ANGELIQUE MUHAMMAD REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3400 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-3330
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Country | US
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Telephone | 773-798-2985
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-3330
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 041296346
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 041296346
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License Number State | IL
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