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General NPI Number Information
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NPI Number | 1841350840
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Entity Type | Organization
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Legal Business Name | ANNE F SOLUS DDS PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 15717 WOLF ROAD
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City | ORLAND PARK
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State | IL
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Zip | 60467-4543
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Country | US
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Telephone | 708-349-7232
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Fax | 708-349-7478
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Provider Business Mailing Address
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Address Line | 15717 WOLF ROAD
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City | ORLAND PARK
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State | IL
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Zip | 60467-4543
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Country | US
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Telephone | 708-349-7232
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Fax | 708-349-7478
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Authorized Official
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Title or Position | DENTIST PRESIDENT
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Name | ANNE F SOLUS GAFFNEY
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Credential | DDS
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Telephone | 708-349-7232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019019230
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License Number State | IL
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