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General NPI Number Information
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NPI Number | 1205547627
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Entity Type | Organization
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Legal Business Name | MANORAMA S. CHOWDHRY MD., INC.
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 1600 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93534-2814
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Country | US
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Telephone | 661-949-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 41909 CALLE CALIFORNIOS
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City | LANCASTER
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State | CA
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Zip | 93536-2833
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Country | US
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Telephone | 661-350-1508
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Fax |
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Authorized Official
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Title or Position | CONTRACTING AND CREDENTIALING REP
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Name | MR. DEANNA MORA
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Credential |
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Telephone | 661-729-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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