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NPI 1366446163

NPI 1366446163 : ALVARO A FIGUEROA D.D.S. : WINNETKA, IL

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General NPI Number Information
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    NPI Number           |    1366446163
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    Entity Type          |    Individual 
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    Provider Name        |    ALVARO A FIGUEROA D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2005
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    Last Update Date     |    10/30/2024
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Provider Practice Location Address
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    Address Line         |    1075 GAGE ST 
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    City                 |    WINNETKA
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    State                |    IL
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    Zip                  |    60093-1704
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    Country              |    US
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    Telephone            |    847-501-4740
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    Fax                  |    847-501-4744
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Provider Business Mailing Address
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    Address Line         |    1075 GAGE ST 
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    City                 |    WINNETKA
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    State                |    IL
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    Zip                  |    60093-1704
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    Country              |    US
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    Telephone            |    847-501-4740
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    Fax                  |    847-501-4744
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    019018936
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    License Number State |    IL
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