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General NPI Number Information
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NPI Number | 1497016869
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Entity Type | Individual
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Provider Name | CHAMUNDESWARI SUBRAMANIAN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 16 GUION PL
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5502
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Country | US
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Telephone | 914-365-4300
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Fax | 914-633-4553
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Provider Business Mailing Address
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Address Line | 255 HUGUENOT ST APARTMENT 217
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-6387
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Country | US
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Telephone | 860-329-1278
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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 | A132766
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License Number State | CA
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