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NPI 1912865189

NPI 1912865189 : SOUZAN KAOUJI : OAK LAWN, IL

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General NPI Number Information
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    NPI Number           |    1912865189
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    Entity Type          |    Individual 
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    Provider Name        |    SOUZAN KAOUJI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/14/2026
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    5669 W 95TH ST 
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    City                 |    OAK LAWN
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    State                |    IL
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    Zip                  |    60453-2382
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    Country              |    US
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    Telephone            |    708-634-2627
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6340 AMERICANA DR APT 1004 
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    City                 |    WILLOWBROOK
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    State                |    IL
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    Zip                  |    60527-2249
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    Country              |    US
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    Telephone            |    630-828-3819
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    198001665
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    License Number State |    IL
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