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General NPI Number Information
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NPI Number | 1508856501
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Entity Type | Organization
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Legal Business Name | CHAINANI ASHOK NANIKRAM BDS,PC
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 253 BROAD ST
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2042
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Country | US
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Telephone | 718-720-0066
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Fax | 718-720-0002
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Provider Business Mailing Address
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Address Line | 45 KEUNE CT
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1430
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Country | US
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Telephone | 718-720-0066
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Fax | 718-720-0002
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHOK N CHAINANI
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Credential | DDS
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Telephone | 718-720-0066
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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 | 036727
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License Number State | NY
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