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General NPI Number Information
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NPI Number | 1730399692
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Entity Type | Individual
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Provider Name | ZELJKO G ATLAGIC DDS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4112 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3028
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Country | US
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Telephone | 773-883-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 608 THE LN
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City | HINSDALE
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State | IL
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Zip | 60521-2455
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Country | US
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Telephone | 708-749-7000
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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 |
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License Number State | IL
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