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General NPI Number Information
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NPI Number | 1437420528
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Entity Type | Organization
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Legal Business Name | SINCHAI DENTAL, LLC
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 9860 WESTPOINT DR SUITE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-3397
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Country | US
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Telephone | 317-849-3512
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Fax |
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Provider Business Mailing Address
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Address Line | 9860 WESTPOINT DR SUITE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-3397
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Country | US
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Telephone | 317-849-3512
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TANET SINCHAI
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Credential |
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Telephone | 219-765-9207
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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 | 12011170A
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License Number State | IN
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