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General NPI Number Information
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NPI Number | 1417189218
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Entity Type | Individual
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Provider Name | DR. ASTHA CHICHRA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 789 HOWARD AVE BLDG 2ND
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City | NEW HAVEN
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State | CT
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Zip | 06519-1304
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Country | US
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Telephone | 203-785-4198
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Fax | 203-785-5463
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Provider Business Mailing Address
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Address Line | PO BOX 208057
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City | NEW HAVEN
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State | CT
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Zip | 06520-8057
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Country | US
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Telephone | 203-737-4612
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Fax | 203-785-3826
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 57163
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD.208050
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 57163
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License Number State | CT
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