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General NPI Number Information
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NPI Number | 1184121717
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Entity Type | Individual
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Provider Name | MARTAND CHHIBBER MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 10 BIRDSEYE RD STE 260
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City | FARMINGTON
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State | CT
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Zip | 06032-2489
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Country | US
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Telephone | 860-606-7557
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Fax | 860-404-2334
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Provider Business Mailing Address
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Address Line | 10 BIRDSEYE RD STE 260
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City | FARMINGTON
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State | CT
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Zip | 06032-2489
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Country | US
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Telephone | 860-606-7557
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Fax | 860-404-2334
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 280088
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 77252
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License Number State | CT
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