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General NPI Number Information
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NPI Number | 1891929790
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Entity Type | Organization
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Legal Business Name | SUREN CHELIAN, DMD, PLLC
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 29 RIVERSIDE ST # D
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City | NASHUA
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State | NH
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Zip | 03062-1396
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Country | US
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Telephone | 603-882-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 29 RIVERSIDE ST # D
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City | NASHUA
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State | NH
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Zip | 03062-1396
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Country | US
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Telephone | 603-882-6100
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SUREN CHELIAN
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Credential | DMD
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Telephone | 603-882-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 03625
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License Number State | NH
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