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General NPI Number Information
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NPI Number | 1891153078
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Entity Type | Organization
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Legal Business Name | AAA HEALTHCARE
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 5595 S OAK ST
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City | HINSDALE
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State | IL
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Zip | 60521-5063
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Country | US
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Telephone | 312-972-4437
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Fax |
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Provider Business Mailing Address
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Address Line | 5595 S OAK ST
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City | HINSDALE
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State | IL
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Zip | 60521-5063
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Country | US
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Telephone | 312-972-4437
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALFRED L ALLEN
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Credential | MD
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Telephone | 312-972-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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