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General NPI Number Information
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NPI Number | 1932339652
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Entity Type | Organization
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Legal Business Name | MEERA NARSIMHAN DDS INC
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 496 W ARMY TRAIL RD
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City | CAROL STREAM
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State | IL
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Zip | 60188-9366
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Country | US
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Telephone | 630-221-1577
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Fax | 630-221-1567
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Provider Business Mailing Address
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Address Line | 496 W ARMY TRAIL RD
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City | CAROL STREAM
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State | IL
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Zip | 60188-9366
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Country | US
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Telephone | 630-221-1577
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Fax | 630-221-1567
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Authorized Official
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Title or Position | DDS
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Name | MEERA NARSIMHAN
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Credential |
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Telephone | 630-221-1577
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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 | 019026826
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License Number State | IL
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