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General NPI Number Information
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NPI Number | 1811535404
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Entity Type | Organization
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Legal Business Name | SECURE DENTAL VI
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Dates
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Enumeration Date | 12/15/2019
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Last Update Date | 12/15/2019
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Provider Practice Location Address
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Address Line | 3540 N ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60657-1314
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Country | US
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Telephone | 309-606-5008
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Fax |
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Provider Business Mailing Address
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Address Line | 502 RIVERSIDE DR
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City | EAST PEORIA
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State | IL
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Zip | 61611-2068
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Country | US
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Telephone | 309-681-8888
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | NAZISH HASAN JAFRI
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Credential |
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Telephone | 309-681-8888
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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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