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General NPI Number Information
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NPI Number | 1255063368
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Entity Type | Organization
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Legal Business Name | EXCEL DENTAL OF CHELSEA LLC
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 110 PARK ST UNIT 1
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City | CHELSEA
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State | MA
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Zip | 02150-2709
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Country | US
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Telephone | 617-294-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 6 GIANNA DR
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City | SAUGUS
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State | MA
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Zip | 01906-1987
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Country | US
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Telephone | 781-241-2221
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHITRANG B PATEL
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Credential | DMD
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Telephone | 781-241-2221
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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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