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General NPI Number Information
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NPI Number | 1831044197
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Entity Type | Individual
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Provider Name | NOUR ANWAR ALATTAR DDS
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1342 S HARLEM AVE
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City | FREEPORT
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State | IL
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Zip | 61032-6231
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Country | US
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Telephone | 347-812-9813
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Fax |
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Provider Business Mailing Address
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Address Line | 1342 S HARLEM AVE
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City | FREEPORT
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State | IL
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Zip | 61032-6231
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Country | US
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Telephone | 347-812-9813
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 019036872
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License Number State | IL
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