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General NPI Number Information
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NPI Number | 1306019617
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Entity Type | Organization
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Legal Business Name | NASAR A CHAUDHRY, PHYSICIAN, PLLC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 327 SENECA RD
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City | HORNELL
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State | NY
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Zip | 14843-1033
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Country | US
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Telephone | 607-324-5031
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Fax | 607-324-0585
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Provider Business Mailing Address
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Address Line | 327 SENECA RD
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City | HORNELL
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State | NY
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Zip | 14843-1033
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Country | US
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Telephone | 607-324-5031
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Fax | 607-324-0585
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Authorized Official
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Title or Position | OWNER, PHYSICIAN
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Name | NASAR A CHAUDHRY
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Credential | PHYSICIAN, PLLC
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Telephone | 607-324-5031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | 116917
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 116917
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License Number State | NY
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