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General NPI Number Information
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NPI Number | 1760902878
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Entity Type | Individual
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Provider Name | ALEXANDER DAVID EINBINDER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 4516 S DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60609-3013
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Country | US
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Telephone | 516-423-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 161 W KINZIE ST APT 1211
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City | CHICAGO
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State | IL
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Zip | 60654-4737
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Country | US
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Telephone |
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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 | 019031292
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License Number State | IL
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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 | 1201325A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 061656
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 107951
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License Number State | CA
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