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General NPI Number Information
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NPI Number | 1285502229
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Entity Type | Organization
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Legal Business Name | COUNTING TEETH ANESTHESIA PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1345 S WABASH AVE UNIT 405
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City | CHICAGO
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State | IL
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Zip | 60605-2575
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Country | US
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Telephone | 773-217-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 S WABASH AVE UNIT 405
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City | CHICAGO
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State | IL
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Zip | 60605-2575
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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 | MEMBER
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Name | SUE CHUNG
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Credential | DDS
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Telephone | 505-463-7934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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