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General NPI Number Information
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NPI Number | 1629203658
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Entity Type | Organization
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Legal Business Name | VHASH DENTAL, P.C.
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 1261 N LAKE ST SUITE #J
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City | AURORA
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State | IL
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Zip | 60506-2489
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Country | US
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Telephone | 630-801-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 N LAKE ST #J
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City | AURORA
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State | IL
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Zip | 60506-2489
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Country | US
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Telephone | 630-801-0002
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. DIMITRI HARALAMPOPOULOS
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Credential |
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Telephone | 847-414-3309
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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 | 019023680
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License Number State | IL
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