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General NPI Number Information
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NPI Number | 1235409806
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Entity Type | Organization
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Legal Business Name | FIGUEROA ORTHODONTICS PLLC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1075 GAGE ST
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City | WINNETKA
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State | IL
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Zip | 60093-1704
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Country | US
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Telephone | 847-501-4740
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Fax | 847-501-4744
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Provider Business Mailing Address
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Address Line | 1075 GAGE ST
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City | WINNETKA
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State | IL
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Zip | 60093-1704
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Country | US
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Telephone | 847-501-4740
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Fax | 847-501-4744
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ALEXANDER L FIGUEROA
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Credential | DMD
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Telephone | 847-501-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019018936
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019027818
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License Number State | IL
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