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General NPI Number Information
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NPI Number | 1639800584
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Entity Type | Individual
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Provider Name | ANNA EILEEN MCDEVITT DDS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 33 N DEARBORN ST STE 2400
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City | CHICAGO
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State | IL
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Zip | 60602-3109
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Country | US
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Telephone | 773-906-7255
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Fax | 630-423-9646
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Provider Business Mailing Address
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Address Line | 747 N WABASH AVE APT 2207
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City | CHICAGO
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State | IL
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Zip | 60611-2280
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Country | US
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Telephone | 734-363-4444
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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 | 019.033695
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License Number State | IL
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