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General NPI Number Information
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NPI Number | 1568680148
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Entity Type | Organization
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Legal Business Name | SEHEJ DENTAL, LLC
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 FULTON AVE STE E
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4148
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Country | US
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Telephone | 516-433-9325
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Fax |
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Provider Business Mailing Address
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Address Line | 30 RIM LN
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City | HICKSVILLE
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State | NY
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Zip | 11801-6117
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Country | US
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Telephone | 516-433-9325
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. PAVANJIT S CHHABRA
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Credential | DDS
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Telephone | 516-433-9325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 050584
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License Number State | NY
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