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General NPI Number Information
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NPI Number | 1326194598
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Entity Type | Organization
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Legal Business Name | NITET CHARO, DPM
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 30 E 15TH ST SUITE 206
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-3459
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Country | US
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Telephone | 708-755-7871
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Fax | 708-756-3263
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Provider Business Mailing Address
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Address Line | 30 E 15TH ST SUITE 206
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-3459
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Country | US
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Telephone | 708-755-7871
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Fax | 708-756-3263
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Authorized Official
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Title or Position | OWNER
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Name | DR. NITET CHARO
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Credential | DPM
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Telephone | 708-755-7871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | IL
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