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General NPI Number Information
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NPI Number | 1962655837
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Entity Type | Individual
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Provider Name | JOSEPH G ARREDONDO DDS
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Gender | Male
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 120 OAKBROOK CENTER MALL STE 802
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City | OAKBROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 630-571-3030
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Fax | 630-571-1977
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Provider Business Mailing Address
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Address Line | 120 OAKBROOK CENTER MALL STE #802
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City | OAKBROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 630-571-3030
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Fax | 630-571-1977
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019-023994
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License Number State | IL
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