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General NPI Number Information
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NPI Number | 1043581978
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Entity Type | Organization
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Legal Business Name | AFTAB CHAUDHRI
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 965 FENWORTH BLVD
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-2324
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Country | US
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Telephone | 516-352-1124
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Fax | 516-352-0518
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Provider Business Mailing Address
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Address Line | 965 FENWORTH BLVD
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-2324
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Country | US
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Telephone | 516-352-1124
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AFTAB A CHAUDHRI
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Credential |
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Telephone | 516-352-1124
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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 | 729165
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License Number State | NY
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