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General NPI Number Information
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NPI Number | 1538083092
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Entity Type | Individual
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Provider Name | SOLOMIYA FURDAS DEKELAITA DMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 2364 S ELMHURST RD
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City | MT PROSPECT
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State | IL
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Zip | 60056-5805
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Country | US
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Telephone | 847-621-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 10357 DEARLOVE RD APT 2F
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City | GLENVIEW
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State | IL
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Zip | 60025-3646
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Country | US
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Telephone | 773-226-2245
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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 | 019037342
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License Number State | IL
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