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General NPI Number Information
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NPI Number | 1538305610
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Entity Type | Organization
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Legal Business Name | JEFFREY A. HALPERN, DDS, LTD
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Dates
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Enumeration Date | 12/19/2008
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 701 LEE ST SUITE 640
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City | DES PLAINES
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State | IL
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Zip | 60016-4539
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Country | US
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Telephone | 847-827-6300
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Fax | 847-827-6306
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Provider Business Mailing Address
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Address Line | 701 LEE ST SUITE 640
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City | DES PLAINES
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State | IL
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Zip | 60016-4539
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Country | US
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Telephone | 847-827-6300
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Fax | 847-827-6306
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY HALPERN
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Credential | DDS
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Telephone | 847-827-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 019022874(021001595)
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License Number State | IL
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