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General NPI Number Information
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NPI Number | 1396234969
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Entity Type | Individual
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Provider Name | KRISHAN CHIRIMUNJ MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 65 KANE ST
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City | WEST HARTFORD
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State | CT
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Zip | 06119-2110
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Country | US
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Telephone | 860-523-3745
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Fax |
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Provider Business Mailing Address
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Address Line | 61 BART PL
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City | CLIFTON
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State | NJ
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Zip | 07013-1357
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Country | US
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Telephone | 201-960-5801
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | C1-0027949
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 69470
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MA11890400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD488181
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA11890400
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0027949
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License Number State | DE
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