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General NPI Number Information
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NPI Number | 1023082278
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Entity Type | Individual
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Provider Name | RAKESH R CHAWLA MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 9000 N MAIN ST STE 101
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City | ENGLEWOOD
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State | OH
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Zip | 45415-1184
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Country | US
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Telephone | 937-832-2425
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Fax | 937-832-9804
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BLDG B2ND
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-069290
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35069290
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 35-069290
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License Number State | OH
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