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General NPI Number Information
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NPI Number | 1154850113
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Entity Type | Individual
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Provider Name | CHIDRUP TRIPATHI DO
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Gender | Male
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 164 SUMMIT AVENUE FAIN BLDG, SUITE 2B
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City | PROVIDENCE
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State | RI
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Zip | 02906-2853
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Country | US
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Telephone | 401-793-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ELLENFIELD ST STE 101
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City | PROVIDENCE
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State | RI
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Zip | 02905-4541
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Country | US
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Telephone | 401-444-6779
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO3588
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | DO3588
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO01427
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License Number State | RI
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