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General NPI Number Information
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NPI Number | 1487669156
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Entity Type | Organization
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Legal Business Name | SATISH REDDY DDS PC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 3020 W MONTROSE AVE
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City | CHICAGO
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State | IL
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Zip | 60618-1312
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Country | US
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Telephone | 773-754-3900
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Fax | 773-754-3905
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Provider Business Mailing Address
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Address Line | 3020 W MONTROSE AVE
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City | CHICAGO
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State | IL
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Zip | 60618-1312
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Country | US
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Telephone | 773-754-3900
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Fax | 773-754-3907
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Authorized Official
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Title or Position | DENTIST
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Name | MR. SATISH REDDY
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Credential |
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Telephone | 773-754-3900
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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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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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