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NPI 1376805358

NPI 1376805358 : SONIA S CHAUBAL DPT : GROTON, CT

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General NPI Number Information
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    NPI Number           |    1376805358
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    Entity Type          |    Individual 
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    Provider Name        |    SONIA S CHAUBAL DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2012
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    1145 POQUONNOCK RD 
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    City                 |    GROTON
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    State                |    CT
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    Zip                  |    06340-4620
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    Country              |    US
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    Telephone            |    860-446-9960
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14902 SHELBORNE RD 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46074-9668
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    Country              |    US
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    Telephone            |    317-286-2885
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    Fax                  |    317-388-0805
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    0349411
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    License Number State |    NY
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