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General NPI Number Information
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NPI Number | 1326095472
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Entity Type | Individual
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Provider Name | CHHAYA BALI MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 25 GEMINI LN
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City | MANALAPAN
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State | NJ
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Zip | 07726-8816
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Country | US
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Telephone | 732-409-6949
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Fax | 732-409-6949
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Provider Business Mailing Address
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Address Line | 25 GEMINI LN
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City | MANALAPAN
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State | NJ
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Zip | 07726-8816
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Country | US
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Telephone | 732-409-6949
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Fax | 732-409-6949
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 25MA04026000
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License Number State | NJ
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