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General NPI Number Information
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NPI Number | 1073668380
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Entity Type | Individual
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Provider Name | AMEE SONI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5539 W CERMAK RD
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City | CICERO
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State | IL
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Zip | 60804-2218
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Country | US
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Telephone | 708-652-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 5155 MADISON ST # 407
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City | SKOKIE
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State | IL
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Zip | 60077-5231
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Country | US
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Telephone | 847-972-1428
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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