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General NPI Number Information
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NPI Number | 1881738185
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Entity Type | Individual
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Provider Name | DAVID ALAN SKARIN D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4 N WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-4551
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Country | US
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Telephone | 630-369-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 1S740 EQUESTRIAN CIR
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City | WINFIELD
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State | IL
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Zip | 60190-1725
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Country | US
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Telephone | 630-231-5377
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019016516, 021001129
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License Number State | IL
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