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General NPI Number Information
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NPI Number | 1962175356
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Entity Type | Individual
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Provider Name | ANITA ZAKARI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 402 TOWN CENTER RD
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City | MATTESON
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State | IL
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Zip | 60443-2300
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Country | US
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Telephone | 708-843-1877
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Fax |
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Provider Business Mailing Address
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Address Line | 957 HARVARD LN
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City | MATTESON
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State | IL
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Zip | 60443-1522
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Country | US
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Telephone | 708-843-1877
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209023705
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License Number State | IL
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