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General NPI Number Information
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NPI Number | 1972528321
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Entity Type | Individual
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Provider Name | KENT F ARMBRUSTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 9800 SOUTHWEST HWY
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City | OAK LAWN
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State | IL
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Zip | 60453-3617
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Country | US
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Telephone | 708-229-6985
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 W 95TH ST BUSINESS DEVELOPMENT, 3N
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2701
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Country | US
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Telephone | 708-229-5420
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Fax | 708-229-4209
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036041145
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License Number State | IL
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