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General NPI Number Information
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NPI Number | 1619282597
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Entity Type | Individual
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Provider Name | ARHAM FIDA HUSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 7435 W TALCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60631-3707
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Country | US
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Telephone | 773-990-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 8620 LYONS ST
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City | DES PLAINES
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State | IL
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Zip | 60016-3971
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2013006688
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2013006688
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | AR3860233-89206
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License Number State | IL
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