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General NPI Number Information
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NPI Number | 1215643184
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Entity Type | Organization
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Legal Business Name | AZAL DENTAL CONSULTING INC.
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 4641 W FOSTER AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1709
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Country | US
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Telephone | 312-607-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 7455 KENNETH AVE
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City | SKOKIE
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State | IL
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Zip | 60076-3817
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Country | US
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Telephone | 312-607-8382
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAHVAR HUSSAIN
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Credential | DMD
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Telephone | 312-607-8382
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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 |
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License Number State |
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