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General NPI Number Information
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NPI Number | 1669087375
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Entity Type | Organization
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Legal Business Name | NAPERVILLE SMILES DENTAL
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 8 W GARTNER RD STE 124
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City | NAPERVILLE
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State | IL
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Zip | 60540-7549
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Country | US
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Telephone | 630-369-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 8 W GARTNER RD STE 124
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City | NAPERVILLE
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State | IL
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Zip | 60540-7549
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Country | US
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Telephone | 630-369-8000
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Fax |
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Authorized Official
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Title or Position | MANAGERE
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Name | DR. ROHI ATASSI
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Credential | DDS
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Telephone | 312-622-4406
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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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