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General NPI Number Information
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NPI Number | 1457426512
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Entity Type | Individual
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Provider Name | MICHAEL E. LENART D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2820 75TH ST
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City | WOODRIDGE
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State | IL
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Zip | 60517-2850
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Country | US
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Telephone | 630-964-7772
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Fax | 630-964-0890
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Provider Business Mailing Address
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Address Line | 2820 75TH ST
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City | WOODRIDGE
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State | IL
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Zip | 60517-2850
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Country | US
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Telephone | 630-964-7772
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Fax | 630-964-0890
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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 |
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License Number State | IL
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