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General NPI Number Information
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NPI Number | 1598822330
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Entity Type | Individual
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Provider Name | CARLETON ALEXANDER NELSON JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 37 N GREELEY ST
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City | PALATINE
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State | IL
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Zip | 60067-5054
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Country | US
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Telephone | 847-358-1111
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Fax | 847-358-3020
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Provider Business Mailing Address
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Address Line | 1616 E WAVERLY DR
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-3446
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Country | US
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Telephone | 847-392-3286
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Fax | 847-506-0176
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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 |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | IL
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