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General NPI Number Information
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NPI Number | 1225682636
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Entity Type | Individual
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Provider Name | ZAYNAB HEDROUG DMD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 1037 OAKWOOD DR
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City | WESTMONT
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State | IL
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Zip | 60559-1039
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Country | US
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Telephone | 630-788-3425
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 OAKWOOD DR
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City | WESTMONT
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State | IL
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Zip | 60559-1039
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901600236
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019032319
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License Number State | IL
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