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NPI 1063630200

NPI 1063630200 : CHUNG-YI NIOU DMD : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1063630200
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    Entity Type          |    Individual 
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    Provider Name        |    CHUNG-YI NIOU DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    11438 LEBANON RD 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45241-6201
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    Country              |    US
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    Telephone            |    513-769-4873
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    Fax                  |    513-588-2792
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Provider Business Mailing Address
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    Address Line         |    11438 LEBANON RD 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45241-6201
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    Country              |    US
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    Telephone            |    513-769-4873
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    Fax                  |    513-588-2792
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    30-02-1358
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    License Number State |    OH
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