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General NPI Number Information
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NPI Number | 1396954418
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Entity Type | Individual
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Provider Name | LESA CHOPRA D.O
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1066 N MONROE ST
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City | MONROE
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State | MI
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Zip | 48162-3113
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Country | US
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Telephone | 734-240-4870
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Fax | 734-682-5083
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Provider Business Mailing Address
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Address Line | 100 MADISON AVE
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City | TOLEDO
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State | OH
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Zip | 43604-1516
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101016511
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 5101016511
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License Number State | MI
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