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General NPI Number Information
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NPI Number | 1962178558
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Entity Type | Individual
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Provider Name | LINDBERGH NORRIS II DDS
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Gender | Male
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2505 W SCHAUMBURG RD
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3887
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Country | US
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Telephone | 224-212-9514
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Fax | 847-584-1645
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Provider Business Mailing Address
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Address Line | 19615 GOVERNORS HWY
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2037
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Country | US
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Telephone | 708-221-8343
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12013700A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.033393
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License Number State | IL
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