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General NPI Number Information
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NPI Number | 1245422955
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Entity Type | Individual
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Provider Name | RAVINDRA CHANDRASHEKHAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 2008 E HEBRON PKWY STE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-1601
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Country | US
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Telephone | 469-501-2224
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Fax | 877-409-1532
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Provider Business Mailing Address
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Address Line | PO BOX 1292
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City | COPPELL
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State | TX
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Zip | 75019-1207
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Country | US
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Telephone | 469-501-2224
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Fax | 877-409-1532
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q7024
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A100759
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | Q7024
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License Number State | TX
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