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General NPI Number Information
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NPI Number | 1154550663
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Entity Type | Individual
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Provider Name | CHHAVI RAI M.D
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 4932 W STATE ROAD 46 STE 1090
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City | SANFORD
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State | FL
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Zip | 32771-9244
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Country | US
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Telephone | 407-635-3330
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Fax | 407-636-7845
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Provider Business Mailing Address
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Address Line | 4932 W STATE ROAD 46 STE 1090
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City | SANFORD
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State | FL
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Zip | 32771-9244
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Country | US
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Telephone | 407-635-3330
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME162371
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 054160
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License Number State | CT
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