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General NPI Number Information
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NPI Number | 1851968481
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Entity Type | Individual
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Provider Name | FAHAD TAHIR DPM
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Gender | Male
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2003 MONTGOMERY RD STE 108109
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City | AURORA
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State | IL
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Zip | 60504-9078
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Country | US
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Telephone | 630-401-8286
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Fax |
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Provider Business Mailing Address
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Address Line | 755 KNOCH KNOLLS RD
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City | NAPERVILLE
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State | IL
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Zip | 60565-3545
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Country | US
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Telephone | 630-745-1787
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016.006079
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License Number State | IL
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