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General NPI Number Information
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NPI Number | 1710359591
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Entity Type | Organization
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Legal Business Name | DUPAGE SLEEP CENTER LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 2500 S HIGHLAND AVE STE 325
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City | LOMBARD
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State | IL
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Zip | 60148-5390
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Country | US
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Telephone | 630-209-8262
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Fax | 630-495-9826
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Provider Business Mailing Address
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Address Line | 2500 S HIGHLAND AVE STE 325
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City | LOMBARD
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State | IL
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Zip | 60148-5390
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Country | US
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Telephone | 630-209-8262
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Fax | 630-495-9826
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHEELA B GANDHI
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Credential | DDS
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Telephone | 630-852-4848
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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 | 019015197
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License Number State | IL
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