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General NPI Number Information
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NPI Number | 1932869336
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Entity Type | Individual
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Provider Name | NAJIBULLAH HAFIZ WARDAK PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 1751 W DIEHL RD STE 110
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City | NAPERVILLE
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State | IL
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Zip | 60563-4912
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Country | US
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Telephone | 630-799-1595
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Fax |
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Provider Business Mailing Address
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Address Line | 6005 N KIMBALL AVE APT 2C
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City | CHICAGO
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State | IL
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Zip | 60659-2322
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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 | 051301162
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License Number State | IL
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