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General NPI Number Information
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NPI Number | 1538779319
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Entity Type | Individual
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Provider Name | AMAN CHUGH DDS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 772 GRAND ST STE 2
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City | BROOKLYN
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State | NY
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Zip | 11211-5395
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Country | US
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Telephone | 718-218-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 772 GRAND ST STE 2
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City | BROOKLYN
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State | NY
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Zip | 11211-5395
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Country | US
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Telephone |
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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 | 22DI02805600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 062790
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License Number State | NY
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