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General NPI Number Information
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NPI Number | 1710745153
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Entity Type | Organization
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Legal Business Name | CHENET COSMETIC AND FAMILY DENTISTRY P C
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 20280 ROUTE 19 UNIT 6
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6125
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Country | US
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Telephone | 412-367-0367
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Fax | 412-367-0366
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Provider Business Mailing Address
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Address Line | 200 COMMERCE DR STE 203
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City | MOON TWP
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State | PA
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Zip | 15108-3189
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Country | US
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Telephone | 412-367-0367
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Fax | 412-367-0366
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. NICOLE D CHENET
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Credential | DDS
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Telephone | 412-952-1939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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