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General NPI Number Information
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NPI Number | 1134338536
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Entity Type | Organization
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Legal Business Name | DR. K KALMANEK, LTD.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 913 LILY CACHE LN
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3131
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Country | US
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Telephone | 630-226-1000
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Fax | 708-301-4236
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Provider Business Mailing Address
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Address Line | 913 LILY CACHE LN
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3131
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Country | US
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Telephone | 630-226-1000
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Fax | 708-301-4236
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH JOHN KALMANEK
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Credential | D.D.S.
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Telephone | 630-226-1000
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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 |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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