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General NPI Number Information
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NPI Number | 1205745205
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Entity Type | Organization
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Legal Business Name | ACME DENTISTRY HOBART LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 7878 E. RIDGE RD. SUITE H.
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City | HOBART
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State | IN
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Zip | 46342-2468
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Country | US
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Telephone | 219-400-0878
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Fax | 224-781-0660
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Provider Business Mailing Address
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Address Line | 10114 GRAND AVE.
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-2549
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Country | US
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Telephone | 847-737-7886
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Fax | 224-781-0660
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | IDALY CANIZALES
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Credential |
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Telephone | 847-737-7886
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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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