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General NPI Number Information
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NPI Number | 1821973298
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Entity Type | Organization
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Legal Business Name | 95TH DENTAL CARE PC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3929 W 95TH ST
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-1903
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Country | US
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Telephone | 708-777-3929
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Fax |
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Provider Business Mailing Address
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Address Line | 12151 S 73RD AVE
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1411
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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 | DENTIST
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Name | ALEXANDER ALEMIS
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Credential |
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Telephone | 773-251-7573
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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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