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General NPI Number Information
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NPI Number | 1700197704
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Entity Type | Individual
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Provider Name | ERIK JOHN LIGAS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 3430 NEWGATE DR
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City | TROY
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State | MI
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Zip | 48084-1232
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Country | US
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Telephone | 734-223-4063
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Fax |
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Provider Business Mailing Address
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Address Line | 9119 S EXCHANGE AVE
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City | CHICAGO
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State | IL
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Zip | 60617-4225
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Country | US
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Telephone | 773-768-5000
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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 | 019.029228
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019-029228
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License Number State | IL
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