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NPI 1326037623

NPI 1326037623 : CHAD STEVEN ESLINGER DDS : CLEVELAND, TN

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General NPI Number Information
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    NPI Number           |    1326037623
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    Entity Type          |    Individual 
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    Provider Name        |    CHAD STEVEN ESLINGER DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/19/2005
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    Last Update Date     |    05/19/2015
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Provider Practice Location Address
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    Address Line         |    150 STUART XING NE 
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    City                 |    CLEVELAND
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    State                |    TN
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    Zip                  |    37312-4065
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    Country              |    US
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    Telephone            |    423-476-2160
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    Fax                  |    423-476-2680
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Provider Business Mailing Address
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    Address Line         |    150 STUART XING NE 
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    City                 |    CLEVELAND
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    State                |    TN
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    Zip                  |    37312-4065
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    Country              |    US
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    Telephone            |    423-476-2160
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    Fax                  |    423-476-2680
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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        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    7763
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    14510
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    License Number State |    GA
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