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General NPI Number Information
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NPI Number | 1417413006
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Entity Type | Organization
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Legal Business Name | SEJAL B JOBALIA DDS PC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 360 W BUTTERFIELD RD STE 210
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City | ELMHURST
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State | IL
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Zip | 60126-5000
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Country | US
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Telephone | 630-824-2270
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Fax | 630-834-2275
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Provider Business Mailing Address
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Address Line | 360 W BUTTERFIELD RD STE 210
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City | ELMHURST
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State | IL
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Zip | 60126-5000
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Country | US
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Telephone | 630-824-2270
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Fax | 630-834-2275
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MICHELLE KEARNEY
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Credential | DDS
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Telephone | 630-834-2270
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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 |
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License Number State |
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