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General NPI Number Information
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NPI Number | 1194280941
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Entity Type | Organization
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Legal Business Name | KENNETH J. SZAFRANSKI, DDS, LTD MATTHEW S. VAN BEEK, DDS
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 1100 HILLGROVE AVE SUITE 1&2
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558
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Country | US
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Telephone | 708-246-4333
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Fax | 708-246-4356
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Provider Business Mailing Address
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Address Line | 1100 HILLGROVE AVE SUITE 1&2
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558
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Country | US
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Telephone | 708-246-4333
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Fax | 708-246-4356
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH J. SZAFRANSKI
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Credential | DDS
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Telephone | 708-246-4333
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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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