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General NPI Number Information
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NPI Number | 1861666992
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Entity Type | Organization
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Legal Business Name | DR. DONALD H. SALTZMAN, D.D.S., P.C.
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1029 HOWARD ST
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City | EVANSTON
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State | IL
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Zip | 60202-3877
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Country | US
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Telephone | 847-492-0660
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Fax | 847-869-5858
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Provider Business Mailing Address
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Address Line | 1029 HOWARD ST
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City | EVANSTON
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State | IL
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Zip | 60202-3877
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Country | US
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Telephone | 847-492-0660
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Fax | 847-869-5858
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DONALD H. SALTZMAN
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Credential | D.D.S.
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Telephone | 847-491-0660
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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 | 019-011974
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License Number State | IL
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