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General NPI Number Information
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NPI Number | 1316904006
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Entity Type | Individual
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Provider Name | PUSHPI PRAVEEN CHAUDHARY MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3110 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-3630
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Country | US
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Telephone | 610-776-4304
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Fax |
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Provider Business Mailing Address
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Address Line | 3774 PENNBROOK WAY
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City | ALLENTOWN
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State | PA
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Zip | 18104-1772
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Country | US
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Telephone | 610-398-5566
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD057839L
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License Number State | PA
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