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General NPI Number Information
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NPI Number | 1659419182
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Entity Type | Individual
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Provider Name | CHAD TIMOTHY DAINS D.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 10870 W CHARLESTON BLVD STE 170
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City | LAS VEGAS
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State | NV
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Zip | 89135-1170
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Country | US
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Telephone | 702-254-9609
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Fax |
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Provider Business Mailing Address
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Address Line | 11452 PARKERSBURG AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-6089
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Country | US
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Telephone | 949-433-4931
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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 | 5280
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License Number State | NV
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