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General NPI Number Information
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NPI Number | 1093758773
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Entity Type | Organization
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Legal Business Name | CHATHAM MEDICAL PC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 139 CENTRE ST SUITE 607
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City | NEW YORK
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State | NY
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Zip | 10013-4556
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Country | US
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Telephone | 212-766-2800
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Fax | 212-766-2066
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Provider Business Mailing Address
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Address Line | PO BOX 130227 CO GARMAN T HO MD
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City | NEW YORK
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State | NY
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Zip | 10013-0986
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Country | US
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Telephone | 212-766-2800
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Fax | 212-766-2066
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Authorized Official
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Title or Position | OFFICER
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Name | GARMAN T HO
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Credential | MD
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Telephone | 212-766-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 204645
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License Number State | NY
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