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General NPI Number Information
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NPI Number | 1609085539
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Entity Type | Individual
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Provider Name | HELEN E. CHIAO DMD, MMSC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 120 E HARTSDALE AVE APT 1S
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City | HARTSDALE
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State | NY
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Zip | 10530-3220
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Country | US
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Telephone | 425-455-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E HARTSDALE AVE APT 1S
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City | HARTSDALE
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State | NY
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Zip | 10530-3220
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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 | 21690
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License Number State | MA
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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 | 055381-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60078345
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11692
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License Number State | CT
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