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General NPI Number Information
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NPI Number | 1780094060
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Entity Type | Individual
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Provider Name | ROBERT CHIN DMD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1781 VILLAGE CENTER CIR STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89134-0573
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Country | US
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Telephone | 702-460-4068
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Fax | 705-834-3332
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Provider Business Mailing Address
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Address Line | 1781 VILLAGE CENTER CIR STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89134-0573
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Country | US
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Telephone | 702-460-4068
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Fax | 705-834-3332
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7018
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30843
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License Number State | TX
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