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General NPI Number Information
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NPI Number | 1194135962
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Entity Type | Organization
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Legal Business Name | CHUNDTWO, LLC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 4534 WESTGATE BLVD, SUITE 106
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-284-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 4534 WESTGATE BLVD, SUITE 106
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-284-7500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUJOY CHATTERJEE
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Credential |
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Telephone | 512-284-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 50520
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License Number State | TX
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