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General NPI Number Information
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NPI Number | 1134811433
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Entity Type | Organization
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Legal Business Name | ASTERLATION INC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 9933 FRANKLIN AVE STE 2A
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-1928
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Country | US
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Telephone | 847-589-1234
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Fax | 800-604-1874
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Provider Business Mailing Address
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Address Line | 9933 FRANKLIN AVE STE 2A
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-1928
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Country | US
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Telephone | 847-589-1234
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Fax | 800-604-1874
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IHTESHAM ALI SHAH MO ALI SHAH MOHAMMED
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Credential |
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Telephone | 847-589-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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