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General NPI Number Information
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NPI Number | 1154674471
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Entity Type | Organization
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Legal Business Name | ORTHODONTIC EXPERTS LTD
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 1010 S ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3168
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Country | US
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Telephone | 847-749-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 S ARLINGTON HEIGHTS RD FLOOR 2
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3169
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Country | US
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Telephone | 847-749-4340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YAROSLAV YARMOLYUK
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Credential | DDS, MS
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Telephone | 847-749-4340
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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 | 021.002488
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License Number State | IL
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