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General NPI Number Information
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NPI Number | 1992803084
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Entity Type | Individual
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Provider Name | LLOYD ELLIOTT CAMP DDS
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 8725 W HIGGINS RD SUITE 485
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City | CHICAGO
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State | IL
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Zip | 60631-2716
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Country | US
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Telephone | 773-329-4450
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Fax | 773-329-4454
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Provider Business Mailing Address
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Address Line | 8725 W HIGGINS RD SUITE 485
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City | CHICAGO
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State | IL
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Zip | 60631-2716
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Country | US
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Telephone | 773-329-4450
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Fax | 773-329-4454
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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 | 2741-015
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License Number State | WI
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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 | 019027709
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License Number State | IL
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