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General NPI Number Information
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NPI Number | 1659290724
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Entity Type | Organization
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Legal Business Name | YASHVIRSMILE LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 200 E EVERGREEN AVE STE 124
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-3240
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Country | US
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Telephone | 847-253-8350
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Fax | 847-253-8630
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Provider Business Mailing Address
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Address Line | 3227 RONALD RD
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City | GLENVIEW
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State | IL
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Zip | 60025-4562
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Country | US
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Telephone | 847-505-5773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAGRUTI DUDHATRA
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Credential |
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Telephone | 847-505-5773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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