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General NPI Number Information
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NPI Number | 1114036191
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Entity Type | Organization
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Legal Business Name | CHAD M VAN SCYOC DDS PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 2821 N PARHAM RD SUITE 202
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City | RICHMOND
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State | VA
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Zip | 23294-4412
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Country | US
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Telephone | 804-270-7425
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Fax | 804-270-0083
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Provider Business Mailing Address
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Address Line | 2821 N PARHAM RD SUITE 202
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City | RICHMOND
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State | VA
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Zip | 23294-4412
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Country | US
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Telephone | 804-270-7425
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Fax | 804-270-0083
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. CHAD MICHAEL VAN SCYOC
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Credential | DDS PC
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Telephone | 804-270-7425
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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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