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General NPI Number Information
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NPI Number | 1093117921
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Entity Type | Organization
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Legal Business Name | SJ TERMINI, DDS PC
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 1074 W TAYLOR ST # 207
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City | CHICAGO
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State | IL
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Zip | 60607-4336
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Country | US
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Telephone | 312-209-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 W TAYLOR ST # 207
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City | CHICAGO
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State | IL
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Zip | 60607-4336
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Country | US
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Telephone | 312-209-1770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVATORE JOHN TERMINI
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Credential | DDS
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Telephone | 312-209-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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