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General NPI Number Information
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NPI Number | 1720578511
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Entity Type | Individual
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Provider Name | ZAINEB AL-ABDULLA BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 2900 W IRVING PARK RD APT 401
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City | CHICAGO
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State | IL
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Zip | 60618-3563
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Country | US
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Telephone | 312-375-4719
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Fax |
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Provider Business Mailing Address
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Address Line | 4585 N ELSTON AVE APT 207
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City | CHICAGO
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State | IL
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Zip | 60630-4275
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-38280
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License Number State | IL
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