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General NPI Number Information
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NPI Number | 1336956200
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Entity Type | Organization
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Legal Business Name | AFMC VENDOR SERVICES LLC
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1131 S ARLINGTON HEIGHTS RD STE C
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3140
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Country | US
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Telephone | 630-782-9780
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 S ARLINGTON HEIGHTS RD STE C
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3140
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MOHAMMAD VASEEMUDDIN
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Credential |
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Telephone | 847-323-5491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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