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General NPI Number Information
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NPI Number | 1649881491
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Entity Type | Individual
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Provider Name | USMAN CHAUDHRY DMD, MPH, MS
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Gender | Male
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 6480 EASTEX FWY STE A
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City | BEAUMONT
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State | TX
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Zip | 77708-4336
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Country | US
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Telephone | 409-241-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 WIMBERLY HOLLOW LN
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City | ROSENBERG
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State | TX
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Zip | 77471-6668
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Country | US
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Telephone | 571-490-5915
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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 | 36519
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License Number State | TX
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