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General NPI Number Information
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NPI Number | 1215215371
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Entity Type | Individual
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Provider Name | ATISH CHOPRA MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2011
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1400 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4110
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Country | US
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Telephone | 817-926-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 8TH AVE STE 240
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City | FORT WORTH
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State | TX
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Zip | 76104-4139
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Country | US
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Telephone |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD175917
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License Number State | OR
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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 | BP10041450
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | S8168
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License Number State | TX
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