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General NPI Number Information
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NPI Number | 1851469357
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Entity Type | Individual
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Provider Name | MEREDITH SLOVICK KELLER RDH
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 E 22ND ST GROVE DENTAL
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 630-627-4680
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Fax |
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Provider Business Mailing Address
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Address Line | 621 N FOURTH AVE
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City | ADDISON
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State | IL
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Zip | 60101
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Country | US
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Telephone | 630-543-5262
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | IL
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