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General NPI Number Information
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NPI Number | 1164770400
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Entity Type | Individual
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Provider Name | MOHAMMED BILAL CHAUDARY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 211 PARK ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-3143
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Country | US
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Telephone | 508-222-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 80 NEWPORT AVE
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City | ATTLEBORO
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State | MA
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Zip | 02703-4435
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Country | US
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Telephone | 508-265-9244
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD15822
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 270771
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 270771
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License Number State | MA
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