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General NPI Number Information
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NPI Number | 1326596339
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Entity Type | Organization
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Legal Business Name | ALLA KAHN, DDS, LTD
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 935 W GLEN FLORA AVE SUITE 200
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City | WAUKEGAN
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State | IL
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Zip | 60085-1899
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Country | US
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Telephone | 847-782-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 935 W GLEN FLORA AVE SUITE 200
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City | WAUKEGAN
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State | IL
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Zip | 60085-1899
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Country | US
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Telephone | 847-782-1200
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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. ALLA KAHN
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Credential |
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Telephone | 847-782-1200
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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 | 019026567
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License Number State | IL
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