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General NPI Number Information
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NPI Number | 1992927271
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Entity Type | Organization
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Legal Business Name | WILLIAM W. MISISCHIA D.D.S. LTD. JOSEPH W. NOETZEL D.D.S. LTD.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20200 ASHLAND AVE
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-1671
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Country | US
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Telephone | 708-755-1333
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Fax | 708-755-2751
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Provider Business Mailing Address
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Address Line | 20200 ASHLAND AVE
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-1671
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Country | US
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Telephone | 708-755-1333
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Fax | 708-755-2751
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. JOSEPH WILLIAM NOETZEL
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Credential | D.D.S.
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Telephone | 708-755-1333
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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 | 19-011965
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License Number State | IL
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