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General NPI Number Information
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NPI Number | 1710406798
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Entity Type | Individual
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Provider Name | CHESTER CASHMIR TORKORNOO DDS
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Gender | Male
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 475 TRADE SQ W
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City | TROY
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State | OH
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Zip | 45373-2461
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Country | US
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Telephone | 757-201-4623
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Fax |
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Provider Business Mailing Address
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Address Line | 475 TRADE SQ W
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City | TROY
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State | OH
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Zip | 45373-2461
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Country | US
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Telephone | 937-335-7460
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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 | 30.025234
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License Number State | OH
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