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General NPI Number Information
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NPI Number | 1497995872
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Entity Type | Organization
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Legal Business Name | ANTHONY M AURIEMMA MD SC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 460 QUAIL RIDGE DR
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City | WESTMONT
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State | IL
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Zip | 60559-6145
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Country | US
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Telephone | 630-887-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 460 QUAIL RIDGE DR
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City | WESTMONT
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State | IL
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Zip | 60559-6145
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Country | US
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Telephone | 630-887-2900
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Fax | 630-986-2440
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY AURIEMMA
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Credential | M.D.
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Telephone | 630-887-2900
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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 | 042618962
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License Number State | IL
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