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General NPI Number Information
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NPI Number | 1255595310
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Entity Type | Organization
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Legal Business Name | DRS BOYER & SCHEIVE D D S P C
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 183 S BLOOMINGDALE RD STE. 205
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1466
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Country | US
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Telephone | 630-893-4530
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Fax | 630-893-4584
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Provider Business Mailing Address
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Address Line | 183 S BLOOMINGDALE RD STE. 205
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1466
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Country | US
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Telephone | 630-893-4530
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Fax | 630-893-4584
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DONNA RYAN
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Credential |
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Telephone | 630-893-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 019015979
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 019015102
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License Number State | IL
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