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General NPI Number Information
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NPI Number | 1285361667
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Entity Type | Individual
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Provider Name | ABDELRAHMAN SHARARA DMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 7300 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60645-1857
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Country | US
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Telephone | 773-338-8433
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Fax |
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Provider Business Mailing Address
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Address Line | 14008 PRESTON DR
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City | ORLAND PARK
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State | IL
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Zip | 60467-1479
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Country | US
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Telephone | 708-833-0894
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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 | 019033806
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License Number State | IL
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