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NPI 1023512811

NPI 1023512811 : ARUN CHAKRAVARTHY NACHIAPPAN MD : BRIDGEPORT, CT

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General NPI Number Information
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    NPI Number           |    1023512811
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    Entity Type          |    Individual 
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    Provider Name        |    ARUN CHAKRAVARTHY NACHIAPPAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/19/2018
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    Last Update Date     |    07/11/2022
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Provider Practice Location Address
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    Address Line         |    267 GRANT ST 
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    City                 |    BRIDGEPORT
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    State                |    CT
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    Zip                  |    06610-2870
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    Country              |    US
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    Telephone            |    281-797-2850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 WASHINGTON ST UNIT 415 
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06854-3168
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    Country              |    US
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    Telephone            |    203-434-7376
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    0068594
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    License Number State |    CT
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