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General NPI Number Information
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NPI Number | 1073853909
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Entity Type | Organization
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Legal Business Name | ARLINGTON MULTI SPECIALTY MEDICAL CENTER
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 1925 E RAND RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4366
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Country | US
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Telephone | 773-934-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 E RAND RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4366
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Country | US
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Telephone | 773-934-4242
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | EDGAR J VARGAS
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Credential | M.D.
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Telephone | 773-934-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 03647133
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License Number State | IL
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