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General NPI Number Information
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NPI Number | 1760535819
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Entity Type | Organization
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Legal Business Name | CEDRIC C CHENET DDS PA
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7331 OFFICE PARK PL SUITE 100
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City | MELBOURNE
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State | FL
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Zip | 32940-8239
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Country | US
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Telephone | 321-253-3136
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Fax | 321-253-6411
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Provider Business Mailing Address
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Address Line | 7331 OFFICE PARK PL SUITE 100
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City | MELBOURNE
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State | FL
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Zip | 32940-8239
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Country | US
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Telephone | 321-253-3136
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Fax | 321-253-6411
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CEDRIC C CHENET
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Credential | D.D.S
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Telephone | 321-253-3136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13349
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License Number State | FL
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