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General NPI Number Information
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NPI Number | 1538593223
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Entity Type | Individual
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Provider Name | BENJAMIN MING FEI CHAN DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2359 MENDON RD
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City | CUMBERLAND
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State | RI
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Zip | 02864-3707
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Country | US
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Telephone | 401-334-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 1 NASSAU ST UNIT 2103
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City | BOSTON
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State | MA
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Zip | 02111-1542
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Country | US
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Telephone | 401-334-3070
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN1855834
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License Number State | MA
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