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General NPI Number Information
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NPI Number | 1023085941
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Entity Type | Individual
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Provider Name | AMAAR MASOOD MALIK DO
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 801 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-7430
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Country | US
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Telephone | 630-527-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 5495 S RAINBOW BLVD #101
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City | LAS VEGAS
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State | NV
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Zip | 89118
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Country | US
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Telephone | 702-891-9729
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Fax | 702-898-0223
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 1239
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4299
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A8710
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-119313
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License Number State | IL
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