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General NPI Number Information
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NPI Number | 1669547782
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Entity Type | Individual
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Provider Name | FAYSAL Y. CHAUDHRY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 7410 PRESTON RD SUITE 121
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City | FRISCO
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State | TX
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Zip | 75034-5681
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Country | US
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Telephone | 860-335-5966
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Fax |
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Provider Business Mailing Address
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Address Line | 11450 STILL HOLLOW DR
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City | FRISCO
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State | TX
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Zip | 75035-8625
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Country | US
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Telephone | 860-335-5966
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23915
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License Number State | TX
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