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General NPI Number Information
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NPI Number | 1134271075
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Entity Type | Individual
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Provider Name | FAINA CHACHKO MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 305 E 55TH ST SUITE 203
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-759-5550
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Fax | 212-759-9788
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Provider Business Mailing Address
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Address Line | 305 E 55TH ST SUITE 203
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-759-5550
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Fax | 212-759-9788
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 160416
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA55800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 160416
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MA55800
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License Number State | NJ
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