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General NPI Number Information
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NPI Number | 1689980013
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Entity Type | Individual
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Provider Name | HINNA A CHAUDHRY D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 124 BROAD ST
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City | STAMFORD
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State | CT
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Zip | 06901-2702
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Country | US
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Telephone | 203-324-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 987 GREENWOOD RD
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City | UNION
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State | NJ
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Zip | 07083-7423
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Country | US
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Telephone | 732-614-2331
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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 | 22DI02445900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 25DI02445900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 010876
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License Number State | CT
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