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General NPI Number Information
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NPI Number | 1780412130
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Entity Type | Individual
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Provider Name | MUHAMMAD SOHAIB AFZAL MD, MBBS
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Gender | Male
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | LOYOLA UNIVERSITY MEDICAL CENTRE 2160 S. FIRST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 888-584-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ELM CREEK DR APT 104
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City | ELMHURST
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State | IL
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Zip | 60126-5287
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Country | US
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Telephone | 630-768-6564
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 125.084779
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License Number State | IL
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