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General NPI Number Information
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NPI Number | 1215953807
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Entity Type | Individual
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Provider Name | PRAYRANA CHHABRA JOSEPH MD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 7503 S NORTHSHORE DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-8002
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Country | US
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Telephone | 865-531-1300
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Fax | 865-470-9190
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Provider Business Mailing Address
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Address Line | PO BOX 110566
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City | DURHAM
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State | NC
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Zip | 27709-5566
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Country | US
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Telephone | 919-620-4855
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022-00014
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 44072
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License Number State | TN
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