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General NPI Number Information
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NPI Number | 1265124002
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Entity Type | Individual
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Provider Name | CHAERIN SON
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 3150 ZELDA CT
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City | MONTGOMERY
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State | AL
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Zip | 36106-2607
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Country | US
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Telephone | 334-281-2451
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Fax |
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Provider Business Mailing Address
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Address Line | 2387 RUTLAND RD
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City | AUBURN
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State | AL
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Zip | 36832-2501
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Country | US
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Telephone | 334-750-8761
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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 | D.007515-C1
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License Number State | AL
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