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General NPI Number Information
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NPI Number | 1083337844
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Entity Type | Individual
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Provider Name | NEIL SINGH CHANDOK DMD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1300 W LINCOLN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-3127
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Country | US
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Telephone | 262-994-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 3478 N BROADWAY ST APT 514
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City | CHICAGO
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State | IL
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Zip | 60657-3156
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Country | US
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Telephone | 262-994-3441
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019.033693
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6001432-15
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License Number State | WI
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