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General NPI Number Information
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NPI Number | 1326224643
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Entity Type | Organization
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Legal Business Name | HUSSEIN ORELLANA LTD
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 720 COLLINS ST
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City | JOLIET
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State | IL
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Zip | 60432-1615
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Country | US
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Telephone | 815-582-3565
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Fax | 815-582-3818
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Provider Business Mailing Address
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Address Line | 720 COLLINS ST STE B
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City | JOLIET
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State | IL
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Zip | 60432-1628
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Country | US
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Telephone | 708-955-1793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDULHAMID TAHA HUSSEIN
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Credential | MD
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Telephone | 708-955-1793
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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 |
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License Number State |
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