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General NPI Number Information
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NPI Number | 1932071099
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Entity Type | Organization
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Legal Business Name | CHIRA FAMILY DENTAL LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2594 LOGANVILLE HWY STE 102
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City | GRAYSON
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State | GA
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Zip | 30017-7848
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Country | US
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Telephone | 678-860-1737
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 TOWNE PARK CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4661
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Country | US
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Telephone | 678-860-1737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREEA CHIRA
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Credential |
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Telephone | 678-860-1737
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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 |
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