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General NPI Number Information
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NPI Number | 1760275440
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Entity Type | Individual
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Provider Name | VERINA NAZIH BOTROS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 777 PARK AVE W
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2433
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Country | US
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Telephone | 847-432-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 N LAWNDALE AVE # 2
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City | CHICAGO
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State | IL
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Zip | 60618-5325
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.305141
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20381-40
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License Number State | WI
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