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General NPI Number Information
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NPI Number | 1902880321
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Entity Type | Individual
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Provider Name | HASAN B ALAM MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 259 E ERIE ST STE 1600
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City | CHICAGO
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State | IL
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Zip | 60611-3111
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Country | US
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Telephone | 312-695-5620
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Fax | 312-695-2729
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Provider Business Mailing Address
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Address Line | 259 E ERIE ST STE 1600
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City | CHICAGO
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State | IL
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Zip | 60611-3111
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Country | US
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Telephone | 312-695-5620
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Fax | 312-695-2729
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301101784
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 224253
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 4301104784
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 224253
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 036153320
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License Number State | IL
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