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General NPI Number Information
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NPI Number | 1437447844
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Entity Type | Individual
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Provider Name | PRIYANK CHAUDHARY M.D., MBS
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Gender | Male
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 11009 INGLESIDE PL STE 303
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City | RALEIGH
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State | NC
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Zip | 27614-6697
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Country | US
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Telephone | 919-341-3603
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Fax | 919-341-3610
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Provider Business Mailing Address
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Address Line | 11009 INGLESIDE PL STE 303
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City | RALEIGH
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State | NC
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Zip | 27614-6697
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Country | US
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Telephone | 919-341-3603
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Fax | 919-341-3610
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2016-00501
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License Number State | NC
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