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General NPI Number Information
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NPI Number | 1750805206
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Entity Type | Individual
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Provider Name | LAMA ALGHANEM KABIR DMD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 11 W DOWNER PL
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City | AURORA
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State | IL
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Zip | 60506
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Country | US
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Telephone | 630-892-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3503 TIMBER CREEK LN
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City | NAPERVILLE
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State | IL
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Zip | 60565-3572
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Country | US
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Telephone | 248-321-1429
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10168
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License Number State | CA
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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 | 019031455
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License Number State | IL
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