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General NPI Number Information
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NPI Number | 1023347671
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Entity Type | Organization
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Legal Business Name | CHAD T FLETCHER DDS PA
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 8989 GARLAND RD
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City | DALLAS
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State | TX
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Zip | 75218-3918
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Country | US
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Telephone | 214-328-9173
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Fax | 214-328-9175
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Provider Business Mailing Address
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Address Line | 8989 GARLAND RD
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City | DALLAS
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State | TX
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Zip | 75218-3918
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Country | US
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Telephone | 214-328-9173
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Fax | 214-328-9175
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHAD FLETCHER
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Credential |
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Telephone | 214-328-9173
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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 |
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License Number State |
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