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General NPI Number Information
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NPI Number | 1598641516
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Entity Type | Individual
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Provider Name | EIMAN OMER AHMED OSMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 4721 S KEDZIE AVE
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City | CHICAGO
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State | IL
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Zip | 60632-3001
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Country | US
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Telephone | 773-847-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E SOUTH WATER ST APT 3106
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City | CHICAGO
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State | IL
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Zip | 60601-4070
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Country | US
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Telephone | 424-535-8707
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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 | 019036344
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License Number State | IL
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