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General NPI Number Information
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NPI Number | 1588805394
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Entity Type | Individual
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Provider Name | NANCY S RAY DDS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 55 E WASHINGTON #2600
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City | CHICAGO
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State | IL
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Zip | 60602
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Country | US
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Telephone | 312-726-5007
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Fax | 312-346-4662
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Provider Business Mailing Address
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Address Line | 1130 N. DEARBORN #2706
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-726-5007
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019021892
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License Number State | IL
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