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General NPI Number Information
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NPI Number | 1295091973
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Entity Type | Organization
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Legal Business Name | ARMBRUST 7 LLC
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 2001 N GARY AVE SUITE 210
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City | WHEATON
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State | IL
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Zip | 60187-3055
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Country | US
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Telephone | 630-614-4200
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Fax | 630-614-4059
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Provider Business Mailing Address
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Address Line | 2001 N GARY AVE SUITE 210
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City | WHEATON
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State | IL
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Zip | 60187-3055
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Country | US
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Telephone | 630-614-4200
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Fax | 630-614-4059
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN MICHAEL ARMBRUST
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Credential |
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Telephone | 630-614-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036075885
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License Number State | IL
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