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General NPI Number Information
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NPI Number | 1285964098
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Entity Type | Organization
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Legal Business Name | R. CHANDRASEKHARA M.D.,P.A.
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 1210 E 8TH ST STE 1
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City | WESLACO
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State | TX
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Zip | 78596-7120
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Country | US
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Telephone | 956-968-8523
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Fax | 956-969-1761
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Provider Business Mailing Address
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Address Line | 1210 E 8TH ST STE 1
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City | WESLACO
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State | TX
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Zip | 78596-7120
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Country | US
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Telephone | 956-968-8523
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Fax | 956-969-1761
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MAE P CHANDRA
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Credential |
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Telephone | 956-968-8523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | E5497
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License Number State | TX
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