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General NPI Number Information
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NPI Number | 1477606234
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Entity Type | Individual
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Provider Name | PETER A. CONTOS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 6428 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60645-5209
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Country | US
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Telephone | 773-973-0531
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Fax | 773-262-9850
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Provider Business Mailing Address
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Address Line | 1120 MIDWAY RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-3938
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Country | US
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Telephone | 847-804-9429
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Fax | 773-262-9850
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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 | 6639
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019026750
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License Number State | IL
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