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General NPI Number Information
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NPI Number | 1295871382
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Entity Type | Individual
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Provider Name | CHAD WILLIAM KENNETH LALSINGH DMD
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/16/2008
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Provider Practice Location Address
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Address Line | 240 W PALMETTO PARK RD SUITE 120
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City | BOCA RATON
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State | FL
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Zip | 33432-3761
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Country | US
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Telephone | 561-368-9595
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Fax | 561-368-9347
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Provider Business Mailing Address
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Address Line | 240 W PALMETTO PARK RD SUITE 120
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City | BOCA RATON
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State | FL
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Zip | 33432-3761
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Country | US
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Telephone | 561-368-9595
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Fax | 561-368-9347
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN 16380
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License Number State | FL
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