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General NPI Number Information
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NPI Number | 1932133451
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Entity Type | Individual
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Provider Name | ARAS D TIJUNELIS M.D.,
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 1880 W WINCHESTER RD SUITE 107
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5341
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Country | US
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Telephone | 847-968-2401
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Fax | 847-968-2402
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Provider Business Mailing Address
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Address Line | 1880 W WINCHESTER RD SUITE 107
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5341
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Country | US
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Telephone | 847-968-2401
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Fax | 847-968-2402
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | H26809
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 04926463
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 599090
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 036-102115
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License Number State | IL
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