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General NPI Number Information
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NPI Number | 1992163497
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Entity Type | Organization
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Legal Business Name | ASEES DENTAL, PLLC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 70 CARLETON AVE
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-3034
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Country | US
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Telephone | 631-778-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 70 CARLETON AVE
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-3034
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Country | US
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Telephone | 631-778-6611
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PAVANJIT S. CHHABRA
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Credential | DDS
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Telephone | 631-778-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 050584
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License Number State | NY
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