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General NPI Number Information
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NPI Number | 1194995332
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Entity Type | Organization
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Legal Business Name | CHILDRENS DENTISTRY JOSEPH F ZUCCHERO DDS MS
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT SUITE 566
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City | CHICAGO
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State | IL
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Zip | 60631
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Country | US
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Telephone | 773-792-2347
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Fax |
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Provider Business Mailing Address
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Address Line | 7447 W TALCOTT SUITE 566
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City | CHICAGO
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State | IL
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Zip | 60631
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Country | US
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Telephone | 773-792-2347
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH FRANCIS ZUCCHERO
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Credential | DDS
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Telephone | 773-792-2347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | IL
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