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General NPI Number Information
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NPI Number | 1952431041
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Entity Type | Individual
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Provider Name | RICHARD ALAN PASIEWICZ DDS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5945 S PULASKI RD SUITE 10
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City | CHICAGO
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State | IL
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Zip | 60629-4550
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Country | US
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Telephone | 773-776-5905
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Fax | 773-284-5905
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Provider Business Mailing Address
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Address Line | 1421 ROYAL OAK LN
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City | GLENVIEW
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State | IL
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Zip | 60025-3162
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Country | US
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Telephone | 847-729-1456
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State | IL
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