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General NPI Number Information
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NPI Number | 1326412776
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Entity Type | Individual
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Provider Name | MICHAEL CHULEY PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 201 VARICK ST IHSC MEDICAL
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City | NEW YORK
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State | NY
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Zip | 10014-4811
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Country | US
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Telephone | 202-321-3369
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Fax | 908-276-0363
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Provider Business Mailing Address
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Address Line | 201 VARICK ST IHSC MEDICAL
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City | NEW YORK
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State | NY
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Zip | 10014-4811
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Country | US
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Telephone | 202-321-3369
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Fax | 908-276-0363
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 007672-1
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License Number State | NY
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