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General NPI Number Information
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NPI Number | 1083866123
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Entity Type | Organization
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Legal Business Name | DRS.GOOT AND ROBINSON
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST SUITE 1211
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-263-5090
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Fax | 312-263-5131
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Provider Business Mailing Address
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Address Line | 25 E WASHINGTON ST SUITE 1211
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-263-5090
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Fax | 312-263-5131
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Authorized Official
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Title or Position | CO PRESIDENT
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Name | DR. ARNOLD L GOOT
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Credential | D.D.S.
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Telephone | 312-263-5090
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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 | 019017801
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019015200
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License Number State | IL
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