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NPI 1487609327

NPI 1487609327 : PARIMAL G SAPOVADIA D.M.D. : BUFFALO GROVE, IL

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General NPI Number Information
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    NPI Number           |    1487609327
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    Entity Type          |    Individual 
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    Provider Name        |    PARIMAL G SAPOVADIA D.M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/22/2006
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    Last Update Date     |    04/09/2026
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Provider Practice Location Address
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    Address Line         |    1411 MCHENRY RD STE 127 
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    City                 |    BUFFALO GROVE
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    State                |    IL
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    Zip                  |    60089-1386
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    Country              |    US
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    Telephone            |    847-276-2500
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    Fax                  |    847-276-2501
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Provider Business Mailing Address
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    Address Line         |    1411 MCHENRY RD STE 127 
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    City                 |    BUFFALO GROVE
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    State                |    IL
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    Zip                  |    60089-1386
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    Country              |    US
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    Telephone            |    847-276-2500
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    Fax                  |    847-276-2501
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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        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    5943-015
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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       |    019.028159
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    021.002341
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    License Number State |    IL
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