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General NPI Number Information
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NPI Number | 1083077192
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Entity Type | Individual
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Provider Name | NEENA CHANDRASEKARAN
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 3476 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2000
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Country | US
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Telephone | 954-475-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 3476 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2000
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Country | US
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Telephone |
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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 | ME154938
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME154938
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME154938
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License Number State | FL
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