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General NPI Number Information
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NPI Number | 1134136708
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Entity Type | Organization
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Legal Business Name | CHADHA MEDICAL CLINIC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 140 W 4TH ST
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City | DEQUINCY
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State | LA
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Zip | 70633-3508
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Country | US
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Telephone | 337-786-5007
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Fax | 337-786-5009
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Provider Business Mailing Address
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Address Line | 140 W 4TH ST
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City | DEQUINCY
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State | LA
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Zip | 70633-3508
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Country | US
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Telephone | 337-786-5007
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Fax | 337-786-5009
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. JAGJIT CHADHA
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Credential | M.D
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Telephone | 337-786-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 27211
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 27211
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License Number State | LA
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