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General NPI Number Information
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NPI Number | 1699506675
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Entity Type | Individual
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Provider Name | DONGZI CHEN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 3388 PRINCESS ANNE RD STE 4000
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-2627
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Country | US
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Telephone | 757-381-6056
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Fax |
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Provider Business Mailing Address
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Address Line | 4544 COLUMBUS ST APT 916
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-7385
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Country | US
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Telephone | 267-665-9580
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 0401419146
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License Number State | VA
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