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General NPI Number Information
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NPI Number | 1366464232
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Entity Type | Individual
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Provider Name | VAIJINATH M CHAKOTE MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 8820 ROCKAWAY BEACH BLVD
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1608
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Country | US
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Telephone | 781-634-8080
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Fax | 718-634-8087
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Provider Business Mailing Address
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Address Line | 88-20 ROCKAWAY BEACH BLVD
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1608
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Country | US
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Telephone | 718-634-8080
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Fax | 718-634-8087
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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 | 189449
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License Number State | NY
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