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General NPI Number Information
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NPI Number | 1720462591
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Entity Type | Organization
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Legal Business Name | MIDWEST ACCESS SERVICES LLC
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Dates
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Enumeration Date | 07/12/2015
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Last Update Date | 07/12/2015
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Provider Practice Location Address
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Address Line | 7335 YANKEE RD STE 101
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-0008
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Country | US
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Telephone | 513-779-8111
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Fax | 513-779-8999
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Provider Business Mailing Address
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Address Line | 3 W HAWTHORN PKWY STE 410
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City | VERNON HILLS
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State | IL
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Zip | 60061-1450
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Country | US
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Telephone | 847-388-2079
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Fax | 877-546-7448
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTOINE SAMAHA
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Credential | M.D.
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Telephone | 847-388-2079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology 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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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