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General NPI Number Information
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NPI Number | 1205409802
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Entity Type | Organization
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Legal Business Name | ASEEM CHAWLA DMD, LLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 6040 S RAINBOW BLVD STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89118-2542
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Country | US
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Telephone | 702-307-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 S RAINBOW BLVD STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89118-2542
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Country | US
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Telephone | 702-307-7777
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | FAITH GASKINS
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Credential |
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Telephone | 972-869-3789
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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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