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General NPI Number Information
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NPI Number | 1922272939
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Entity Type | Organization
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Legal Business Name | CYNTHIA M. SACHS D.D.S., P.C.
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 2841 GLENWOOD AVE
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City | ROCKFORD
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State | IL
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Zip | 61101-3542
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Country | US
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Telephone | 815-963-1731
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Fax | 815-964-4415
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Provider Business Mailing Address
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Address Line | 2841 GLENWOOD AVE
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City | ROCKFORD
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State | IL
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Zip | 61101-3542
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Country | US
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Telephone | 815-963-1731
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Fax | 815-964-4415
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA MARIE SACHS
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Credential | D.D.S.
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Telephone | 815-963-1731
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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 | 019-022280
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License Number State | IL
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