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General NPI Number Information
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NPI Number | 1295244911
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Entity Type | Individual
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Provider Name | AMY SARA MAYA DDS
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Gender | Female
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 640 S MONROE ST
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City | HINSDALE
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State | IL
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Zip | 60521-3926
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Country | US
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Telephone | 82-953-6669
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Fax |
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Provider Business Mailing Address
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Address Line | 640 S MONROE ST
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City | HINSDALE
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State | IL
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Zip | 60521-3926
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Country | US
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Telephone | 908-295-3666
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02688000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 019.032081
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License Number State | IL
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