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General NPI Number Information
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NPI Number | 1568360758
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Entity Type | Organization
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Legal Business Name | MYEONG CHAE DMD PC
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 546 MAIN ST
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City | ATHOL
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State | MA
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Zip | 01331-1821
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Country | US
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Telephone | 978-830-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 173 AVENUE A
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City | TURNERS FALLS
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State | MA
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Zip | 01376-1212
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Country | US
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Telephone | 413-863-2296
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MYEONG H CHAE
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Credential | DMD
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Telephone | 267-206-2842
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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 |
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License Number State |
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