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General NPI Number Information
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NPI Number | 1942111620
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Entity Type | Organization
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Legal Business Name | DANIEL J. NICORATA, D.D.S., LTD
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 10720 W 143RD ST STE 27
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City | ORLAND PARK
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State | IL
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Zip | 60462-1986
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Country | US
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Telephone | 708-460-1109
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Fax | 708-460-1150
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Provider Business Mailing Address
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Address Line | 10720 W 143RD ST STE 27
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City | ORLAND PARK
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State | IL
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Zip | 60462-1986
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Country | US
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Telephone | 708-460-1109
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Fax | 708-460-1150
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL NICORATA
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Credential | DDS
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Telephone | 708-712-2584
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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 |
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License Number State |
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