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General NPI Number Information
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NPI Number | 1649908468
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Entity Type | Organization
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Legal Business Name | CHESSON DENTAL PLLC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 5131 S FRY RD STE 800
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City | KATY
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State | TX
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Zip | 77450-7148
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Country | US
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Telephone | 281-944-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 5131 S FRY RD STE 800
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City | KATY
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State | TX
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Zip | 77450-7148
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Country | US
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Telephone | 281-944-4500
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DONNA MARTINEZ
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Credential |
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Telephone | 281-944-4500
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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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