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General NPI Number Information
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NPI Number | 1679044804
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Entity Type | Organization
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Legal Business Name | DROEGE AND SANTEL PLLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 10 APEX DR SUITE 2
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City | HIGHLAND
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State | IL
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Zip | 62249-1296
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Country | US
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Telephone | 618-654-2080
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Fax | 618-654-2090
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Provider Business Mailing Address
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Address Line | 10 APEX DR SUITE 2
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City | HIGHLAND
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State | IL
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Zip | 62249-1296
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Country | US
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Telephone | 618-654-2080
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Fax | 618-654-2090
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Authorized Official
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Title or Position | MEMBER
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Name | DR. TIMOTHY H DROEGE
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Credential | DDS
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Telephone | 618-973-6677
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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 |
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License Number State |
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