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General NPI Number Information
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NPI Number | 1760572796
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Entity Type | Organization
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Legal Business Name | PAUL INCZE DDS PC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 2360 W TOUHY AVE SUITE A
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City | CHICAGO
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State | IL
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Zip | 60645-3449
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Country | US
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Telephone | 773-761-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 W TOUHY AVE SUITE A
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City | CHICAGO
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State | IL
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Zip | 60645-3449
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Country | US
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Telephone | 773-761-7900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL INCZE
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Credential | DDS
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Telephone | 773-761-7900
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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 | 019018456
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License Number State | IL
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