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General NPI Number Information
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NPI Number | 1093763443
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Entity Type | Individual
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Provider Name | NAGARATINA CHANDRASEKARAN SALEM M.D
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 6850 TPC DR SUITE 100
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City | MCKINNEY
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State | TX
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Zip | 75070-3128
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Country | US
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Telephone | 214-383-4400
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Fax | 214-383-4403
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Provider Business Mailing Address
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Address Line | 2224 HARRISBURG LN
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City | PLANO
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State | TX
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Zip | 75025-5514
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Country | US
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Telephone | 214-383-4400
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Fax | 214-383-4403
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K4225
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License Number State | TX
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