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General NPI Number Information
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NPI Number | 1124402466
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Entity Type | Organization
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Legal Business Name | AMER I ALHUSSAINI MD SC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 29 N CASS AVE STE A
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City | WESTMONT
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State | IL
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Zip | 60559-1669
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Country | US
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Telephone | 630-324-6825
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Fax | 630-324-6229
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Provider Business Mailing Address
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Address Line | 29 N CASS AVE STE A
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City | WESTMONT
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State | IL
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Zip | 60559-1669
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Country | US
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Telephone | 630-325-6825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMER ALHUSSAINI
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Credential |
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Telephone | 804-433-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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