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General NPI Number Information
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NPI Number | 1649964230
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Entity Type | Individual
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Provider Name | MICHAEL DRINSKI DMD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 500 ASHLAND AVE STE 2
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-3024
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Country | US
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Telephone | 708-755-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 12027 LEWIS DR
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City | SELLERSBURG
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State | IN
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Zip | 47172-8309
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Country | US
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Telephone | 219-816-1196
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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 | 019034274
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License Number State | IL
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