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General NPI Number Information
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NPI Number | 1407988298
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Entity Type | Organization
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Legal Business Name | ROBERT J KLAFETA DDS LTD
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 801 PLAINFIELD RD
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City | DARIEN
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State | IL
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Zip | 60561-4286
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Country | US
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Telephone | 630-887-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 801 PLAINFIELD RD
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City | DARIEN
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State | IL
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Zip | 60561-4286
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Country | US
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Telephone | 630-887-7820
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT J KLAFETA
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Credential | DDS
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Telephone | 630-887-7820
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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 | 019014597
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License Number State | IL
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