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General NPI Number Information
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NPI Number | 1023387164
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Entity Type | Organization
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Legal Business Name | GLOBAL DENTAL CENTER INC.
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 305 W INDIAN TRL
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City | AURORA
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State | IL
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Zip | 60506-2400
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Country | US
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Telephone | 630-859-8660
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Fax |
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Provider Business Mailing Address
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Address Line | 305 W INDIAN TRL
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City | AURORA
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State | IL
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Zip | 60506-2400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RABEH R MOHAMMAD-SALAMAH
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Credential | DDS
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Telephone | 630-859-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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