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General NPI Number Information
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NPI Number | 1952025652
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Entity Type | Organization
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Legal Business Name | AURORA DENTRIX NORTH AURORA
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 111 OAK ST
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City | NORTH AURORA
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State | IL
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Zip | 60542-1129
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Country | US
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Telephone | 630-892-6515
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Fax | 630-892-4979
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Provider Business Mailing Address
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Address Line | 111 OAK ST
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City | NORTH AURORA
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State | IL
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Zip | 60542-1129
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Country | US
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Telephone | 630-892-6515
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Fax | 630-892-4979
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PURVI VAKIL
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Credential | DDS
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Telephone | 951-756-3767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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