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General NPI Number Information
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NPI Number | 1194641753
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Entity Type | Individual
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Provider Name | HUSSEIN SALEM DMD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 204 W UNIVERSITY AVE
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City | URBANA
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State | IL
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Zip | 61801-1741
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Country | US
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Telephone | 217-607-1292
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Fax |
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Provider Business Mailing Address
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Address Line | 5704 W 89TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-1222
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Country | US
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Telephone |
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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 | 019037264
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License Number State | IL
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