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General NPI Number Information
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NPI Number | 1497266647
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Entity Type | Organization
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Legal Business Name | CHOTO FAMILY & COSMETIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 1624 CHOTO MARKETS WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-5760
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Country | US
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Telephone | 865-409-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 12800 FARMGATE LN
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City | KNOXVILLE
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State | TN
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Zip | 37934-1363
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Country | US
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Telephone | 865-409-5077
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SONIA KHERANI
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Credential | DDS
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Telephone | 865-740-6836
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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 | 8952
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License Number State | TN
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