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General NPI Number Information
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NPI Number | 1861713232
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Entity Type | Individual
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Provider Name | DR. LENA ZARKA
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Gender | Female
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Dates
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Enumeration Date | 06/19/2010
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 45 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60628-4200
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Country | US
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Telephone | 773-995-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ASHTON DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-0305
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Country | US
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Telephone | 513-307-4716
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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 | 019032436
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.023183
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 20022
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License Number State | TX
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