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General NPI Number Information
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NPI Number | 1396742037
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Entity Type | Individual
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Provider Name | ABDUL W CHAUDHRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 814 KEMPSVILLE RD SUITE 102 BLDG 17
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City | NORFOLK
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State | VA
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Zip | 23502-4001
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Country | US
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Telephone | 757-623-0005
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Fax | 757-389-5412
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Provider Business Mailing Address
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Address Line | 4560 SOUTH BLVD SUITE 202
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1160
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Country | US
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Telephone | 757-623-0005
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Fax | 757-548-1129
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0101053259
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License Number State | VA
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