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General NPI Number Information
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NPI Number | 1538043005
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Entity Type | Individual
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Provider Name | SYDNEY PATTERSON DMD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 9119 S EXCHANGE AVE
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City | CHICAGO
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State | IL
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Zip | 60617-4225
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Country | US
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Telephone | 773-768-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 W 74TH ST
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City | CHICAGO
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State | IL
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Zip | 60629-3518
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Country | US
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Telephone | 773-710-8939
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.036380
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License Number State | IL
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