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General NPI Number Information
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NPI Number | 1982127577
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Entity Type | Individual
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Provider Name | ZAINAB SADDIQ OD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 8661 S. HOWELL AVE 200
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City | OAK CREEK
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State | WI
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Zip | 53154
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Country | US
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Telephone | 630-935-3807
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Fax |
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Provider Business Mailing Address
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Address Line | 396 SPRUCE RD
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City | WOOD DALE
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State | IL
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Zip | 60191-2543
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Country | US
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Telephone | 630-935-3807
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 348235
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License Number State | WI
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