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General NPI Number Information
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NPI Number | 1578006003
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Entity Type | Organization
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Legal Business Name | TRIPTY SHARMA DDS PC
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 2770 S HIGHLAND AVE UNIT 103
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City | LOMBARD
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State | IL
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Zip | 60148-5412
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Country | US
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Telephone | 630-426-6996
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Fax | 630-376-6382
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Provider Business Mailing Address
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Address Line | 2770 S HIGHLAND AVE UNIT 103
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City | LOMBARD
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State | IL
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Zip | 60148-5412
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Country | US
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Telephone | 630-426-6996
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Fax | 630-376-6382
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Authorized Official
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Title or Position | DIRECTOR
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Name | TRIPTY SHARMA
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Credential |
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Telephone | 630-426-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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