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General NPI Number Information
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NPI Number | 1396297800
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Entity Type | Organization
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Legal Business Name | SAMER ABDALLAH DDS, PC
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 124 W NORTHWEST HWY
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City | PALATINE
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State | IL
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Zip | 60067-3558
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Country | US
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Telephone | 847-481-8400
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Fax | 847-481-8909
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Provider Business Mailing Address
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Address Line | 124 W NORTHWEST HWY
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City | PALATINE
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State | IL
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Zip | 60067-3558
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Country | US
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Telephone | 847-481-8400
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Fax | 847-481-8909
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. SAMER ABDALLAH
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Credential | D.D.S.
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Telephone | 847-481-8400
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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 | 060.011825
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License Number State | IL
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