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General NPI Number Information
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NPI Number | 1528661642
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Entity Type | Individual
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Provider Name | GHANIA N CHOHAN DDS
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 483 MIDDLE TPKE W STE 309
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City | MANCHESTER
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State | CT
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Zip | 06040-3865
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Country | US
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Telephone | 860-985-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 6 E JULIUS ST
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City | ISELIN
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State | NJ
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Zip | 08830-2603
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Country | US
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Telephone | 732-318-8436
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12963
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License Number State | CT
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