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General NPI Number Information
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NPI Number | 1871662502
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Entity Type | Individual
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Provider Name | MR. OMAR HUSSIEN
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD SUITE 24
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City | HINSDALE
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State | IL
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Zip | 60521-2914
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Country | US
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Telephone | 630-887-6929
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Fax | 630-887-6930
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Provider Business Mailing Address
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Address Line | 14275 WITTINGTON CT
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City | ORLAND PARK
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State | IL
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Zip | 60462-2989
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Country | US
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Telephone | 708-403-9931
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.007755
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License Number State | IL
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