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General NPI Number Information
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NPI Number | 1003244005
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Entity Type | Individual
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Provider Name | CHELSEY KATHERINE CUETO D.D.S
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Gender | Female
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 6451 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-8412
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Country | US
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Telephone | 330-806-8763
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Fax |
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Provider Business Mailing Address
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Address Line | 8839 SCOTSLANDING CIR NW
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City | MASSILLON
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State | OH
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Zip | 44646-1207
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Country | US
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Telephone | 330-806-8763
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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 | 30-023726
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License Number State | OH
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