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General NPI Number Information
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NPI Number | 1033260864
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Entity Type | Organization
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Legal Business Name | SANFORD L. BARR, D.D.S., LTD.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST SUITE 302
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-372-4844
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Fax | 312-372-0089
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Provider Business Mailing Address
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Address Line | 25 E WASHINGTON ST SUITE 302
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-372-4844
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Fax | 312-372-0089
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANFORD LEE BARR
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Credential | D.D.S.
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Telephone | 312-372-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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