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General NPI Number Information
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NPI Number | 1225333875
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Entity Type | Organization
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Legal Business Name | MANISH CHOPRA DMD INC.
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 110 E LOCUST ST
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City | WILMINGTON
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State | OH
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Zip | 45177-2325
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Country | US
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Telephone | 937-382-3008
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Fax | 937-382-7447
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Provider Business Mailing Address
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Address Line | 2752 ERIE AVE STE 1
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City | CINCINNATI
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State | OH
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Zip | 45208-2207
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Country | US
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Telephone | 513-871-4411
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Fax | 513-871-3025
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANISH CHOPRA
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Credential | DMD
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Telephone | 513-871-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 30-020148
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License Number State | OH
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