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General NPI Number Information
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NPI Number | 1871794248
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Entity Type | Individual
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Provider Name | MOJI CHANDY DDS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 2500 NE GREEN OAKS BLVD STE 102
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City | ARLINGTON
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State | TX
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Zip | 76006-3000
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Country | US
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Telephone | 214-455-3111
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Fax | 214-292-8777
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Provider Business Mailing Address
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Address Line | 2500 NE GREEN OAKS BLVD STE 102
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City | ARLINGTON
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State | TX
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Zip | 76006-3000
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Country | US
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Telephone | 214-455-3111
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Fax | 214-292-8777
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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 | 23185
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License Number State | TX
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