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General NPI Number Information
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NPI Number | 1841966355
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Entity Type | Individual
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Provider Name | ZENA JABRI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 4700 W 95TH ST STE 101
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City | OAK LAWN
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State | IL
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Zip | 60453-2538
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Country | US
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Telephone | 708-443-4310
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Fax |
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Provider Business Mailing Address
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Address Line | 1149 DICKENS AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-4303
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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 | 051.302626
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License Number State | IL
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