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General NPI Number Information
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NPI Number | 1851505515
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Entity Type | Individual
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Provider Name | ASRA ZAINEB ALI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 210 N. CASS AVENUE WESTMONT, IL
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City | WESTMONT
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State | IL
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Zip | 60559
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Country | US
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Telephone | 630-737-0791
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Fax | 630-737-0799
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Provider Business Mailing Address
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Address Line | 16W424 HILLSIDE LN
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City | WILLOWBROOK
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State | IL
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Zip | 60527-6148
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Country | US
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Telephone |
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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 | 019.026013
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License Number State | IL
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