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General NPI Number Information
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NPI Number | 1003226960
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Entity Type | Organization
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Legal Business Name | AMR ENTERPRISES LLC
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 07/06/2014
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Provider Practice Location Address
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Address Line | 2200 S MAIN ST STE 206
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City | LOMBARD
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State | IL
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Zip | 60148-5365
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Country | US
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Telephone | 630-519-3485
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Fax | 630-230-8386
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Provider Business Mailing Address
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Address Line | 2200 S MAIN ST STE 206
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City | LOMBARD
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State | IL
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Zip | 60148-5365
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Country | US
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Telephone | 630-519-3485
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Fax | 630-230-8386
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AMJAD ALI SAFVI
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Credential | MD
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Telephone | 630-650-0580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 036-099445
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036099445
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License Number State | IL
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