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General NPI Number Information
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NPI Number | 1992282933
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Entity Type | Individual
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Provider Name | ANGELICA LAGUNAS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 17653 TORRENCE AVE
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City | LANSING
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State | IL
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Zip | 60438-4839
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Country | US
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Telephone | 708-418-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 7628 NEWFIELD LN
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City | TINLEY PARK
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State | IL
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Zip | 60487-5573
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Country | US
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Telephone | 708-491-0760
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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 | 019.031762
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License Number State | IL
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