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General NPI Number Information
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NPI Number | 1063587996
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Entity Type | Organization
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Legal Business Name | GET IT STRAIGHT ORTHODONTICS ORLAND PK PC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9535 W 144TH PL
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City | ORLAND PARK
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State | IL
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Zip | 60462-2556
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Country | US
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Telephone | 708-403-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 2122 STRATFORD LN
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City | GLENVIEW
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State | IL
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Zip | 60026-5745
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Country | US
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Telephone | 708-403-2288
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL M WARSHAWSKY
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Credential | DDS
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Telephone | 708-403-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | IL
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