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General NPI Number Information
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NPI Number | 1972617181
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Entity Type | Individual
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Provider Name | NADEEM HANIF M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 535 ROXBURY RD SUITE B600
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City | ROCKFORD
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State | IL
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Zip | 61107-5076
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Country | US
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Telephone | 815-397-7212
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Fax | 815-397-2539
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Provider Business Mailing Address
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Address Line | 535 ROXBURY RD SUITE B600
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City | ROCKFORD
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State | IL
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Zip | 61107-5076
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Country | US
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Telephone | 815-397-7212
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Fax | 815-397-2539
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036 091943
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License Number State | IL
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