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General NPI Number Information
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NPI Number | 1083063671
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Entity Type | Organization
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Legal Business Name | SADDLEWOOD FAMILY DENTISTRY
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 3027 ENGLISH ROW AVE SUITE 203
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City | NAPERVILLE
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State | IL
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Zip | 60564-5105
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Country | US
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Telephone | 630-904-1106
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Fax | 630-904-5404
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Provider Business Mailing Address
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Address Line | 3027 ENGLISH ROW AVE SUITE 203
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City | NAPERVILLE
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State | IL
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Zip | 60564-5105
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Country | US
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Telephone | 630-904-1106
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Fax | 630-904-5404
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CHRISTOPHER R HUDETZ
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Credential | DDS
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Telephone | 630-904-1106
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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 | 019-702026
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License Number State | IL
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