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General NPI Number Information
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NPI Number | 1316599525
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Entity Type | Individual
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Provider Name | ALI AOUN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 7451 WOODWARD AVE STE 102
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City | WOODRIDGE
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State | IL
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Zip | 60517-2665
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Country | US
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Telephone | 630-725-0947
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Fax |
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Provider Business Mailing Address
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Address Line | 13328 MISTY MEADOW DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-2745
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Country | US
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Telephone | 708-567-5750
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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 | 019032211
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License Number State | IL
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