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General NPI Number Information
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NPI Number | 1376693275
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Entity Type | Individual
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Provider Name | SATYANARAYANA CHANDRAGIRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 1249 FAIRVIEW AVE SE
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City | SALEM
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State | OR
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Zip | 97302-2534
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Country | US
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Telephone | 971-239-1146
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Fax | 503-371-2006
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | SALEM
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State | OR
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Zip | 97302-1060
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Country | US
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Telephone | 971-239-1146
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Fax | 503-371-2006
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD22214
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License Number State | OR
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