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General NPI Number Information
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NPI Number | 1750975231
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Entity Type | Organization
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Legal Business Name | RALPH E MCDONALD DDS LTD
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 1N121 COUNTY FARM RD STE 200
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City | WINFIELD
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State | IL
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Zip | 60190-2034
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Country | US
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Telephone | 630-469-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 1N121 COUNTY FARM RD STE 200
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City | WINFIELD
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State | IL
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Zip | 60190-2034
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Country | US
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Telephone | 630-469-0029
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Fax |
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Authorized Official
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Title or Position | ONWER
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Name | DR. RALPH E MCDONALD
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Credential | DDS
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Telephone | 630-469-0029
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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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