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General NPI Number Information
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NPI Number | 1023812765
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Entity Type | Individual
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Provider Name | DANNIA ELISSA CHAVIS RDH
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Gender |
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 7122 HARFORD RD
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City | PARKVILLE
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State | MD
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Zip | 21234-7741
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Country | US
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Telephone | 140-444-6153
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Fax |
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Provider Business Mailing Address
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Address Line | 8105 SANDPIPER CIR APT 515
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City | NOTTINGHAM
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State | MD
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Zip | 21236-5068
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Country | US
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Telephone | 407-530-8977
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 8782
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License Number State | MD
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