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General NPI Number Information
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NPI Number | 1376453746
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Entity Type | Individual
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Provider Name | KHEMRAJ CHATTERGOON RPH
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2 PARK AVE
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City | YONKERS
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State | NY
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Zip | 10703-3402
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Country | US
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Telephone | 914-964-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 22810 147TH AVE
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City | SPRINGFIELD GARDENS
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State | NY
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Zip | 11413-4405
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 073815
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License Number State | NY
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