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General NPI Number Information
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NPI Number | 1174861470
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Entity Type | Individual
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Provider Name | NOORYA CHAUDHRI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 666 CAMPBELL AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-3775
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Country | US
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Telephone | 203-691-9632
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Fax |
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Provider Business Mailing Address
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Address Line | 60 WASHINGTON ST UNIT 1
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City | TUCKAHOE
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State | NY
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Zip | 10707-4213
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Country | US
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Telephone | 773-793-3097
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 010700
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License Number State | CT
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