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General NPI Number Information
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NPI Number | 1366384091
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Entity Type | Organization
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Legal Business Name | EMILY CHAN, DMD, AND AUSTIN MICHELS, DMD, PLLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 220 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079-3166
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Country | US
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Telephone | 603-898-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 22 VIA TOSCANA UNIT 318W
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City | SALEM
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State | NH
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Zip | 03079-3648
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Country | US
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Telephone | 617-777-3608
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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. EMILY NICOLE CHAN
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Credential | DMD
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Telephone | 617-777-3608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NULL
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