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General NPI Number Information
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NPI Number | 1316158181
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Entity Type | Individual
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Provider Name | DR. CVETAN IVANOV MECHEV
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 1430 N ARLINGTON HEIGHTS RD STE 204
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4825
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Country | US
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Telephone | 847-259-2461
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Fax | 847-577-0150
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Provider Business Mailing Address
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Address Line | 8440 N OLEANDER AVE
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City | NILES
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State | IL
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Zip | 60714-2054
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Country | US
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Telephone | 773-203-4652
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Fax | 847-577-0150
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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 | 62281
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License Number State | CA
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