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General NPI Number Information
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NPI Number | 1073879938
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Entity Type | Individual
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Provider Name | INSHU KHARE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 57 E DOWNER PL
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City | AURORA
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State | IL
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Zip | 60505-3340
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Country | US
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Telephone | 630-859-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 715 CRESTVIEW DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-9060
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Country | US
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Telephone | 630-518-1460
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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 | 019.028680
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License Number State | IL
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