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General NPI Number Information
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NPI Number | 1043446719
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Entity Type | Organization
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Legal Business Name | ALLIED HEALTHCARE ASSOCIATES
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 1500 SHERMER RD SUITE 212
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City | NORTHBROOK
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State | IL
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Zip | 60062
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Country | US
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Telephone | 847-498-9090
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Fax | 847-498-9191
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Provider Business Mailing Address
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Address Line | 1500 SHERMER ROAD SUITE 212
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City | NORTHBROOK
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State | IL
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Zip | 60062
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Country | US
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Telephone | 847-498-9090
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Fax | 847-498-9191
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SCOTT REYNOLDS
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Credential |
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Telephone | 847-498-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036093048
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License Number State | IL
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