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NPI 1912677303

NPI 1912677303 : ARJUN CHAWDHRY DMD : CHELMSFORD, MA

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General NPI Number Information
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    NPI Number           |    1912677303
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    Entity Type          |    Individual 
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    Provider Name        |    ARJUN CHAWDHRY DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/16/2021
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    Last Update Date     |    10/16/2023
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Provider Practice Location Address
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    Address Line         |    22 ALPINE LN 
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    City                 |    CHELMSFORD
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    State                |    MA
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    Zip                  |    01824-2774
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    Country              |    US
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    Telephone            |    857-250-6940
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4311 SPRUCE ST APT A2 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-4768
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    Country              |    US
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    Telephone            |    857-250-6940
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    04693
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    License Number State |    NH
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN1859340
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    License Number State |    MA
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