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General NPI Number Information
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NPI Number | 1932487360
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Entity Type | Organization
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Legal Business Name | HOSCON, LTD
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 1252 OGDEN AVE STE A
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2740
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Country | US
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Telephone | 630-782-9780
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Fax | 630-782-9781
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Provider Business Mailing Address
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Address Line | 1252 OGDEN AVE STE A
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2740
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Country | US
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Telephone | 630-782-9780
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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. MOHAMMAD VASEEMUDDIN
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Credential | M.D.
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Telephone | 847-879-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036-110447
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License Number State | IL
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