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General NPI Number Information
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NPI Number | 1235531054
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Entity Type | Organization
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Legal Business Name | AMERICAN MEDICAL DOCTORS,INC.
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 3063 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6621
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Country | US
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Telephone | 773-267-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 3063 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6621
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Country | US
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Telephone | 773-267-9201
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMMAR BARAZI
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Credential | DOCTOR NAPRAPATHY
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Telephone | 773-267-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181000387
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License Number State | IL
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