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General NPI Number Information
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NPI Number | 1306241922
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Entity Type | Organization
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Legal Business Name | NEIL P. PARIKH D.D.S., P.C
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 2555 LINCOLN HWY SUITE 107
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1936
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Country | US
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Telephone | 847-962-9694
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Fax |
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Provider Business Mailing Address
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Address Line | 233 E 13TH ST APT 1409
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City | CHICAGO
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State | IL
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Zip | 60605-3250
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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 | DENTIST
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Name | DR. NEIL P. PARIKH
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Credential | DDS
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Telephone | 847-962-9694
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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 | 019028606
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License Number State | IL
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