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General NPI Number Information
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NPI Number | 1649442856
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Entity Type | Organization
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Legal Business Name | M&S ARAIN M D S & S C
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 4121 FAIRVIEW AVE SUITE 102
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2264
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Country | US
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Telephone | 630-968-2700
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Fax | 630-968-2719
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Provider Business Mailing Address
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Address Line | 4121 FAIRVIEW AVE SUITE 102
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2264
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Country | US
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Telephone | 630-968-2700
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Fax | 630-968-2719
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Authorized Official
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Title or Position | SURGEON
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Name | DR. MOHAMMED MURTAZA ARAIN
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Credential | M.D.
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Telephone | 630-968-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036046816
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License Number State | IL
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