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General NPI Number Information
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NPI Number | 1063619542
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Entity Type | Individual
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Provider Name | BANI CHANDER ROLAND MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 161 FT WASHINGTN AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 212-305-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 161 FT WASHINGTN AVE SUITE 862
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 917-692-6745
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | DR.0070529
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License Number State | CO
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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 | D74626
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License Number State | MD
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