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General NPI Number Information
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NPI Number | 1720558232
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Entity Type | Individual
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Provider Name | ZEESHAN ALI LEVEL 2 BX THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 7660 GROSS POINT RD
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City | SKOKIE
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State | IL
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Zip | 60077-2613
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Country | US
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Telephone | 847-967-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 6882 N LINCOLN AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2624
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Country | US
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Telephone | 847-338-3942
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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