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General NPI Number Information
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NPI Number | 1326934779
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Entity Type | Individual
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Provider Name | HAJAR MCHABCHEB DMD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 263 S BOLINGBROOK DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-2931
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Country | US
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Telephone | 630-884-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 11 E HARRISON ST
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City | VILLA PARK
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State | IL
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Zip | 60181-3246
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Country | US
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Telephone | 630-597-3650
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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 | 019036080
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License Number State | IL
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