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General NPI Number Information
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NPI Number | 1992037469
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Entity Type | Individual
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Provider Name | HABIBA SEIDU-FUSEINI NP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 1629 N NATCHEZ AVE
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City | CHICAGO
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State | IL
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Zip | 60707-4023
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Country | US
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Telephone | 630-926-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 722 N EMROY AVE
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City | ELMHURST
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State | IL
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Zip | 60126-1710
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Country | US
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Telephone | 773-622-4313
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Fax | 773-290-2401
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041270674
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277001081
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License Number State | IL
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