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General NPI Number Information
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NPI Number | 1871670463
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Entity Type | Individual
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Provider Name | SHELDON A. GRABINER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5850 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60660-3202
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Country | US
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Telephone | 773-561-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 N HUNTINGTON DR
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1639
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Country | US
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Telephone | 847-259-7855
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 01913601
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License Number State | IL
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