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General NPI Number Information
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NPI Number | 1184503682
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Entity Type | Organization
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Legal Business Name | EVER DENTAL STUDIO
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 1901
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City | CHICAGO
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State | IL
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Zip | 60602-3624
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Country | US
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Telephone | 630-209-8902
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Fax |
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Provider Business Mailing Address
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Address Line | 360 E SOUTH WATER ST APT 4906
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City | CHICAGO
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State | IL
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Zip | 60601-4160
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Country | US
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Telephone | 630-209-8902
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | RANEEM ALHAKIM
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Credential |
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Telephone | 630-209-8902
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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 |
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