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General NPI Number Information
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NPI Number | 1487652293
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Entity Type | Individual
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Provider Name | CHANDANDEEP S. NAGI MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL ANNENBERG 15TH FLOOR ROOM 29
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-1632
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Fax | 212-534-7491
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-731-7771
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Fax | 212-534-7491
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | P8393
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 231381-1
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License Number State | NY
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