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General NPI Number Information
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NPI Number | 1700314218
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Entity Type | Individual
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Provider Name | FLORINA MARIA DEMIAN DMD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2017
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4057 OLD ORCHARD RD # NORTH
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City | SKOKIE
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State | IL
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Zip | 60076-1001
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Country | US
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Telephone | 847-329-1314
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Fax | 847-329-9116
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Provider Business Mailing Address
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Address Line | 6931 N KNOX AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2417
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Country | US
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Telephone | 773-540-1890
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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 | 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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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019031101
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License Number State | IL
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