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General NPI Number Information
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NPI Number | 1669510939
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Entity Type | Individual
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Provider Name | DR. ILAN ORGAD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 34659 LA HIGHWAY 16
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City | DENHAM SPRINGS
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State | LA
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Zip | 70706-0667
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Country | US
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Telephone | 225-998-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 1898 DABNEY DR
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City | BATON ROUGE
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State | LA
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Zip | 70816-8626
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Country | US
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Telephone | 206-940-1316
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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 | DE0009188
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5268
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License Number State | LA
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