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General NPI Number Information
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NPI Number | 1811911357
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Entity Type | Individual
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Provider Name | STEVEN CHARLES OLTEAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 1275 E BELVIDERE RD SUITE 220
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2082
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Country | US
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Telephone | 847-548-1718
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Fax | 847-548-1310
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Provider Business Mailing Address
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Address Line | 18745 W MEADOW GRASS DR
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City | LAKE VILLA
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State | IL
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Zip | 60046-6761
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Country | US
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Telephone | 847-265-2730
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 21002101
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License Number State | IL
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