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General NPI Number Information
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NPI Number | 1992544258
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Entity Type | Organization
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Legal Business Name | H&R SQUARE PLLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 1078 E ALGONQUIN RD
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City | ALGONQUIN
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State | IL
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Zip | 60102-3065
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Country | US
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Telephone | 512-514-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 PINNACLE DR
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City | AURORA
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State | IL
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Zip | 60502-8662
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Country | US
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Telephone | 512-514-3671
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. RIMA MODI
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Credential | DMD
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Telephone | 512-514-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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