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General NPI Number Information
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NPI Number | 1881046290
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Entity Type | Individual
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Provider Name | SANA MUBEEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 1298 FOX VALLEY CTR
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City | AURORA
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State | IL
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Zip | 60504-4184
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Country | US
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Telephone | 630-851-8301
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Fax |
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Provider Business Mailing Address
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Address Line | 3263 LAPP LN
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City | NAPERVILLE
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State | IL
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Zip | 60564-8345
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3726-35
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TPOP92
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3764
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003880
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046011035
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License Number State | IL
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