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General NPI Number Information
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NPI Number | 1457214934
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Entity Type | Organization
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Legal Business Name | CLAVET PSYCHIATRY PC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 160 ALEWIFE BROOK PKWY # 1062
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1102
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Country | US
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Telephone | 857-444-9489
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Fax |
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Provider Business Mailing Address
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Address Line | 160 ALEWIFE BROOK PKWY # 1062
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1102
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Country | US
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Telephone | 857-444-9489
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Fax | 857-302-7495
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Authorized Official
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Title or Position | FOUNDING PSYCHIATRIST
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Name | DR. SAKIL CHUNDYDYAL
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Credential | MD
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Telephone | 203-401-1834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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