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General NPI Number Information
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NPI Number | 1952456956
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Entity Type | Organization
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Legal Business Name | SNZ DIAGNOSTICS INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 1544 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60622
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Country | US
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Telephone | 847-778-6099
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Fax | 847-478-5262
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Provider Business Mailing Address
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Address Line | 1419 MADISON DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089
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Country | US
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Telephone | 847-778-6099
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Fax | 847-478-5262
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ZEBA FAROOQI
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Credential |
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Telephone | 847-778-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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