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General NPI Number Information
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NPI Number | 1285180216
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Entity Type | Organization
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Legal Business Name | KAMLESH G AMIN D D S PC
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 3034 W DEVON AVE STE 200
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City | CHICAGO
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State | IL
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Zip | 60659-1455
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Country | US
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Telephone | 847-382-1346
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Fax |
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Provider Business Mailing Address
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Address Line | 3034 W DEVON AVE STE 200
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City | CHICAGO
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State | IL
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Zip | 60659-1455
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Country | US
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Telephone | 847-382-1346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAMLESH AMIN
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Credential | DDS
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Telephone | 847-382-1346
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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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