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General NPI Number Information
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NPI Number | 1801498985
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Entity Type | Individual
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Provider Name | GINA UY DMD
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 450 DUNDEE AVE
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City | ELGIN
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State | IL
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Zip | 60120-4205
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Country | US
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Telephone | 844-599-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 450 DUNDEE AVE
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City | ELGIN
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State | IL
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Zip | 60120-4205
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Country | US
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Telephone | 844-599-3700
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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 | 24332
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License Number State | FL
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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 | 019.033049
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License Number State | IL
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