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General NPI Number Information
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NPI Number | 1326374315
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Entity Type | Organization
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Legal Business Name | PRITI. C. CHOKSHI,D.D.S.,P.C.
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 595 N PINECREST RD STE D1
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City | BOLINGBROOK
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State | IL
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Zip | 60440-2182
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Country | US
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Telephone | 630-739-0232
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Fax |
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Provider Business Mailing Address
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Address Line | 595 N PINECREST RD STE D1
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City | BOLINGBROOK
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State | IL
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Zip | 60440-2182
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Country | US
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Telephone | 630-739-0232
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PRITI C. CHOKSHI
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Credential |
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Telephone | 630-739-0232
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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 | 019024185
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License Number State | IL
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