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General NPI Number Information
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NPI Number | 1851130785
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Entity Type | Individual
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Provider Name | YASMINE FARHAN DMD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 5601 W MONEE MANHATTAN RD
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City | MONEE
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State | IL
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Zip | 60449-8862
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Country | US
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Telephone | 708-543-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 156 W 20TH ST
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City | LOMBARD
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State | IL
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Zip | 60148-6189
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Country | US
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Telephone | 708-790-7424
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.035070
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License Number State | IL
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