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General NPI Number Information
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NPI Number | 1225201510
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Entity Type | Organization
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Legal Business Name | NICHOLAS R TOKARSKI DDS PC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 1516 MADISON ST
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City | MAYWOOD
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State | IL
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Zip | 60153-1824
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Country | US
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Telephone | 708-344-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 MADISON ST
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City | MAYWOOD
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State | IL
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Zip | 60153-1824
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Country | US
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Telephone | 708-344-1880
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NICHOLAS ROBERT TOKARSKI
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Credential | DDS
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Telephone | 708-344-1880
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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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