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General NPI Number Information
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NPI Number | 1679854574
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL RESOURCE MANAGEMENT LTD
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 425 E US ROUTE 6
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City | MORRIS
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State | IL
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Zip | 60450-9042
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Country | US
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Telephone | 312-823-7793
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Fax |
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Provider Business Mailing Address
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Address Line | 425 E US ROUTE 6
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City | MORRIS
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State | IL
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Zip | 60450-9043
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Country | US
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Telephone | 312-823-7793
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PARVEEN K VARMA
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Credential | MD
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Telephone | 630-501-1924
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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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