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General NPI Number Information
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NPI Number | 1275921868
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Entity Type | Organization
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Legal Business Name | DAVID W TAPANI DDS PC
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 740 W OAKDALE AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60657-0468
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Country | US
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Telephone | 248-535-4323
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Fax |
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Provider Business Mailing Address
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Address Line | 740 W OAKDALE AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60657-0468
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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 | PRESIDENT
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Name | DAVID TAPANI
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Credential | D.D.S.
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Telephone | 248-535-4323
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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 | 019028772
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License Number State | IL
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