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General NPI Number Information
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NPI Number | 1730394263
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Entity Type | Organization
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Legal Business Name | HARVINDER S CHADDA, B.D.S.,P.A.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 790 DUNLAWTON AVE SUITE F
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City | PORT ORANGE
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State | FL
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Zip | 32127-9279
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Country | US
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Telephone | 386-767-5417
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Fax |
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Provider Business Mailing Address
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Address Line | 790 DUNLAWTON AVE SUITE F
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City | PORT ORANGE
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State | FL
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Zip | 32127-9279
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Country | US
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Telephone | 386-767-5417
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Fax |
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Authorized Official
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Title or Position | PRESIDENT,DENTIST
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Name | DR. HARVINDER S CHADDA
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Credential | B.D.S
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Telephone | 386-767-5417
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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 | DN 9785
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License Number State | FL
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