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General NPI Number Information
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NPI Number | 1104344746
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Entity Type | Organization
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Legal Business Name | PRECISION PAIN SPECIALISTS, INC.
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1200 LUTHER DR
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City | CROWN POINT
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State | IN
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Zip | 46307-5043
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Country | US
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Telephone | 847-815-4769
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CHARLESTON RD
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City | HINSDALE
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State | IL
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Zip | 60521-5003
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Country | US
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Telephone | 847-815-4769
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ARIF BILAL HUSSAIN
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Credential | DO
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Telephone | 847-815-4769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 02004595A
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License Number State | IN
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