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General NPI Number Information
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NPI Number | 1720291651
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Entity Type | Individual
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Provider Name | HOWARD LAWRENCE CRYSTAL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4334 FOX VALLEY CENTER DR
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City | AURORA
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State | IL
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Zip | 60504-7945
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Country | US
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Telephone | 630-366-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 WARREN ST APT 305
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City | SKOKIE
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State | IL
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Zip | 60077-2913
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Country | US
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Telephone | 773-370-6307
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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 | 1002669-15
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License Number State | WI
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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 | 019016617
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License Number State | IL
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