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General NPI Number Information
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NPI Number | 1952462657
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Entity Type | Organization
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Legal Business Name | FAMILY DENTAL CARE PC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6075 CLEVELAND CIRCLE
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-980-0319
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Fax | 219-980-0379
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Provider Business Mailing Address
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Address Line | 6075 CLEVELAND CIRCLE
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-980-0319
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Fax | 219-980-0379
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHANBO SIM
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Credential | DDS
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Telephone | 219-980-0319
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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 | 12009372A
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License Number State | IN
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