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General NPI Number Information
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NPI Number | 1144436163
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Entity Type | Organization
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Legal Business Name | DRS. WEISBART AND SARNA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 64 OLD ORCHARD SHOPPING CTR SUITE 308
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City | SKOKIE
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State | IL
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Zip | 60077-1425
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Country | US
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Telephone | 884-767-6178
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Fax | 847-676-4515
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Provider Business Mailing Address
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Address Line | 64 OLD ORCHARD SHOPPING CTR SUITE 308
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City | SKOKIE
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State | IL
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Zip | 60077-1425
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Country | US
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Telephone | 884-767-6178
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Fax | 847-676-4515
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Authorized Official
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Title or Position | PARTNER
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Name | DR. THOMAS SARNA
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Credential | DDS, MS
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Telephone | 847-676-1788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 021-00979
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License Number State | IL
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