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General NPI Number Information
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NPI Number | 1588130165
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Entity Type | Organization
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Legal Business Name | KYNA DENTAL PC
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 5 EVERSLEY AVE
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City | NORWALK
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State | CT
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Zip | 06851-5821
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Country | US
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Telephone | 412-335-0973
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Fax |
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Provider Business Mailing Address
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Address Line | 9 COLONY RD
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City | WESTPORT
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State | CT
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Zip | 06880-3703
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Country | US
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Telephone | 412-335-0973
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Fax |
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Authorized Official
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Title or Position | DMD
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Name | DR. NEETU CHOPRA
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Credential | DENTIST
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Telephone | 412-335-0973
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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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