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General NPI Number Information
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NPI Number | 1902920853
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Entity Type | Individual
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Provider Name | KENNETH ALLAN CHINTELLA DDS
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Gender | Male
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 233 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-1669
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Country | US
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Telephone | 814-342-6068
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Fax | 814-342-1205
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Provider Business Mailing Address
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Address Line | 233 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-1669
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Country | US
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Telephone | 814-342-6068
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Fax | 814-342-1205
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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 | DS 109908 L
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License Number State | PA
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