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General NPI Number Information
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NPI Number | 1538259221
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Entity Type | Organization
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Legal Business Name | PARKWAY DENTAL ASSOCIATES
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 40 CHESTNUT ST STE 2 BELKNAP DENTAL ASSOCIATION
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City | DOVER
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State | NH
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Zip | 03820-3335
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Country | US
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Telephone | 603-742-4735
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Fax | 603-742-9911
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Provider Business Mailing Address
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Address Line | 40 CHESTNUT ST STE 2 BELKNAP DENTAL ASSOCIATION
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City | DOVER
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State | NH
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Zip | 03820-3335
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Country | US
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Telephone | 603-742-4735
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Fax | 603-742-9911
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT M CHAIKIN
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Credential | DMD
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Telephone | 603-742-4735
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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 | 1245
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License Number State | NH
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