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General NPI Number Information
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NPI Number | 1962989848
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Entity Type | Organization
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Legal Business Name | UNITED SURGICAL PROFESSIONALS LLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 145 RUMSEY PL
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City | WESTMONT
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State | IL
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Zip | 60559-2650
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Country | US
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Telephone | 630-290-2016
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Fax |
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Provider Business Mailing Address
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Address Line | 145 RUMSEY PL
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City | WESTMONT
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State | IL
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Zip | 60559-2650
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Country | US
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Telephone | 630-290-2016
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MOHAMMAD IMRAN ARAIN
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Credential | CSA, RSA
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Telephone | 630-290-2016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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