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General NPI Number Information
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NPI Number | 1013088228
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Entity Type | Individual
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Provider Name | SANJAY CHAUDHRY MD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 92 N 4TH ST SUITE 11
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1691
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Country | US
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Telephone | 740-633-4447
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Fax | 740-633-4250
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Provider Business Mailing Address
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Address Line | 92 N 4TH ST STE 11
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1600
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Country | US
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Telephone | 740-633-4447
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Fax | 740-633-4250
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 18071
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD043561E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35062737C
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License Number State | OH
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