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General NPI Number Information
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NPI Number | 1639462435
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Entity Type | Individual
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Provider Name | HANY M KURDI DDS
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 05/06/2012
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Provider Practice Location Address
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Address Line | 3419 DEMPSTER ST
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City | SKOKIE
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State | IL
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Zip | 60076-2441
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Country | US
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Telephone | 847-568-1137
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Fax |
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Provider Business Mailing Address
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Address Line | 24916 MANHATTAN ST
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1176
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Country | US
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Telephone | 586-871-9873
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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 | 019028712
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License Number State | IL
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