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General NPI Number Information
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NPI Number | 1063402824
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Entity Type | Individual
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Provider Name | CALVIN MANDEL FINKEL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 8310 LINCOLN AVE
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City | SKOKIE
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State | IL
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Zip | 60077-2415
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Country | US
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Telephone | 847-673-9114
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Fax | 847-674-1410
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Provider Business Mailing Address
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Address Line | 3705 ARCADIA ST
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City | SKOKIE
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State | IL
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Zip | 60076-1740
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Country | US
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Telephone | 847-676-2180
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019018265
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License Number State | IL
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