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General NPI Number Information
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NPI Number | 1831481050
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Entity Type | Organization
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Legal Business Name | AURORA DENTRIX, P.C.
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 2410 LARCHMONT LN
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City | AURORA
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State | IL
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Zip | 60504-5860
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Country | US
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Telephone | 630-859-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 LARCHMONT LN
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City | AURORA
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State | IL
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Zip | 60504-5860
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Country | US
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Telephone | 630-859-8686
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KISHORE N. BELANI
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Credential | DDS, FAGD
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Telephone | 630-859-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19A15182
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License Number State | IL
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