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General NPI Number Information
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NPI Number | 1902826431
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Entity Type | Organization
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Legal Business Name | BASHAR OUSTWANI M.D.S.C.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1430 N ARLINGTON HEIGHTS RD SUITE 205
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4830
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Country | US
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Telephone | 847-788-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 N ARLINGTON HEIGHTS RD SUITE 205
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4830
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Country | US
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Telephone | 847-788-1400
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | BASHAR OUSTWANI
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Credential | M.D.
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Telephone | 847-788-1400
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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 | IL
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