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General NPI Number Information
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NPI Number | 1336250166
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Entity Type | Organization
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Legal Business Name | PARIN K DESAI DDS PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 95 TRADE ST #101
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City | AURORA
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State | IL
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Zip | 60504
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Country | US
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Telephone | 630-851-7878
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Fax | 630-851-1172
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Provider Business Mailing Address
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Address Line | 95 TRADE ST #101
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City | AURORA
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State | IL
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Zip | 60504
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Country | US
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Telephone | 630-851-7878
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Fax | 630-851-1172
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Authorized Official
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Title or Position | PRESIDENT
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Name | PARIN K DESAI
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Credential | DDS
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Telephone | 630-851-7878
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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 | 019 026020
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License Number State | IL
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