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General NPI Number Information
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NPI Number | 1336633833
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Entity Type | Individual
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Provider Name | KIRTI CHOPRA DDS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 1100 BARNUM AVE
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City | STRATFORD
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State | CT
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Zip | 06614-4901
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Country | US
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Telephone | 203-416-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 846 50TH ST APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11220-2452
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Country | US
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Telephone | 973-289-5997
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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 | 12255
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License Number State | CT
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