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General NPI Number Information
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NPI Number | 1134649312
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Entity Type | Individual
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Provider Name | STEVEN JAMAAL KEGLAR DDS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 855 MEACHAM RD STE 12
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3073
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Country | US
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Telephone | 224-758-0181
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Fax |
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Provider Business Mailing Address
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Address Line | 4072 VICTORIA DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-1755
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Country | US
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Telephone | 317-413-2425
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2017017251
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License Number State | MO
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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 | 019.031296
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License Number State | IL
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