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General NPI Number Information
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NPI Number | 1780588939
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Entity Type | Organization
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Legal Business Name | CHIRA DENTAL OF NORCROSS LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1905 BEAVER RUIN RD STE 175
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City | NORCROSS
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State | GA
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Zip | 30071-3850
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Country | US
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Telephone | 678-722-5212
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 BEAVER RUIN RD STE 175
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City | NORCROSS
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State | GA
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Zip | 30071-3850
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Country | US
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Telephone | 678-722-5212
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MIKE CHIRA
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Credential |
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Telephone | 224-628-6190
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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 |
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License Number State | NULL
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