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General NPI Number Information
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NPI Number | 1265731418
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Entity Type | Individual
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Provider Name | CHALITA CHARLES ATALLAH M.D
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Gender | Male
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Dates
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Enumeration Date | 03/26/2011
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5600 S QUEBEC ST STE 312A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2208
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Country | US
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Telephone | 303-436-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 FOLLY QUARTER RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-1452
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Country | US
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Telephone | 240-605-6555
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036.176798
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | DR.0065484
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DR.0065484
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 036.176798
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License Number State | IL
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