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General NPI Number Information
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NPI Number | 1538504683
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Entity Type | Organization
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Legal Business Name | DENTAL CARE PROFESSIONALS CORP
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 9220 BEDFORD DR
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City | WOODRIDGE
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State | IL
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Zip | 60517-7652
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Country | US
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Telephone | 630-541-8402
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Fax |
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Provider Business Mailing Address
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Address Line | 9220 BEDFORD DR
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City | WOODRIDGE
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State | IL
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Zip | 60517-7652
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Country | US
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Telephone | 630-541-8402
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | PINAL PATEL
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Credential | D.D.S
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Telephone | 630-541-8402
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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 | 019029048
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License Number State | IL
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