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General NPI Number Information
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NPI Number | 1669934352
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Entity Type | Organization
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Legal Business Name | CHRISTEN MASSEY, DDS, LLC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 701 METAIRIE RD STE 1B206
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City | METAIRIE
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State | LA
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Zip | 70005-4056
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Country | US
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Telephone | 504-838-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 818 SAINT CHARLES AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70130-3716
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Country | US
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Telephone | 281-236-5364
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTEN MASSEY
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Credential | DDS
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Telephone | 281-236-5364
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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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