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General NPI Number Information
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NPI Number | 1306098017
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Entity Type | Individual
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Provider Name | CHANDINI VALEESWARAN MD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2649 SCHOENERSVILLE RD STE 201
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City | BETHLEHEM
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State | PA
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Zip | 18017-7316
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Country | US
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Telephone | 484-884-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-884-4500
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2008009374
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 4301093815
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD487211
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License Number State | PA
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