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General NPI Number Information
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NPI Number | 1689837585
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Entity Type | Individual
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Provider Name | DR. FRANK A MAGGIO
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 2000 LARKIN AVE SUITE 306
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City | ELGIN
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State | IL
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Zip | 60123-5880
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Country | US
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Telephone | 847-697-4646
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Fax | 847-697-8364
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Provider Business Mailing Address
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Address Line | 2000 LARKIN AVE SUITE 306
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City | ELGIN
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State | IL
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Zip | 60123-5880
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Country | US
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Telephone | 847-697-4646
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Fax | 847-697-8364
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 21000876
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License Number State | IL
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