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General NPI Number Information
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NPI Number | 1790998128
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Entity Type | Organization
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Legal Business Name | KASHEFI DENTAL, P.C.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 135 N ARLINGTON HEIGHTS RD SUITE #170
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-8213
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Country | US
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Telephone | 847-541-0432
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Fax | 847-541-0453
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Provider Business Mailing Address
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Address Line | 135 N ARLINGTON HEIGHTS RD SUITE #170
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-8213
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Country | US
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Telephone | 847-541-0432
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Fax | 847-541-0453
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROOZBEH KASHEFI
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Credential | D.M.D.
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Telephone | 847-541-0432
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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 | 019025902
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License Number State | IL
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