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General NPI Number Information
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NPI Number | 1255061693
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Entity Type | Individual
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Provider Name | GURREET CHHOKAR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 2113 E STATE RD 163
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City | CLINTON
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State | IN
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Zip | 47842
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Country | US
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Telephone | 765-832-7741
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Fax |
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Provider Business Mailing Address
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Address Line | 404 BRIGHTON LN
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City | DYER
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State | IN
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Zip | 46311-4620
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Country | US
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Telephone | 219-218-9359
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12013787A
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License Number State | IN
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