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General NPI Number Information
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NPI Number | 1518319383
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Entity Type | Individual
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Provider Name | ALEC ZUREK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 1001 N WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60563-2764
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Country | US
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Telephone | 630-355-5017
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Fax |
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Provider Business Mailing Address
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Address Line | 717 N 5TH AVE UNIT 101
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City | ADDISON
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State | IL
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Zip | 60101-2097
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Country | US
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Telephone | 630-536-6714
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Fax |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 019.029408
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License Number State | IL
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