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General NPI Number Information
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NPI Number | 1114427358
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Entity Type | Organization
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Legal Business Name | RAZI ORTHODONTICS LTD
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 02/14/2018
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Provider Practice Location Address
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Address Line | 2212 N MAIN ST
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City | WHEATON
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State | IL
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Zip | 60187-9140
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Country | US
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Telephone | 630-614-1162
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Fax | 630-633-8222
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Provider Business Mailing Address
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Address Line | 2212 N MAIN ST
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City | WHEATON
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State | IL
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Zip | 60187-9140
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Country | US
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Telephone | 630-614-1162
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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. KALEEM RAZI
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Credential | DMD, MSD
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Telephone | 414-807-0074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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