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General NPI Number Information
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NPI Number | 1376727701
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Entity Type | Individual
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Provider Name | LUMA WALID NAIM DDS
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Gender | Female
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 444 N NORTHWEST HWY SUITE 230
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City | PARK RIDGE
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State | IL
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Zip | 60068
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Country | US
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Telephone | 847-292-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 206 S BODIN ST
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City | HINSDALE
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State | IL
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Zip | 60521-3913
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Country | US
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Telephone | 248-943-1818
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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 | 019.027247
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License Number State | IL
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