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General NPI Number Information
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NPI Number | 1225164767
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Entity Type | Individual
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Provider Name | AMER M JAMAL MS
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 640 S WASHINGTON ST SUITE 180C
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City | NAPERVILLE
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State | IL
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Zip | 60540-6603
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Country | US
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Telephone | 630-696-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 333 WEATHERFORD LN
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City | NAPERVILLE
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State | IL
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Zip | 60565-3006
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Country | US
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Telephone | 630-696-0418
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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