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General NPI Number Information
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NPI Number | 1508866245
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Entity Type | Organization
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Legal Business Name | CHEST DISEASES ASSOCIATES PC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 8909 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7039
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Country | US
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Telephone | 219-769-0054
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Fax | 219-769-1793
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Provider Business Mailing Address
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Address Line | 8909 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7039
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Country | US
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Telephone | 219-769-0054
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Fax | 219-769-1793
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAKAM SAFADI
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Credential | MD
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Telephone | 219-769-0054
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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 | 50002847A
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License Number State | IN
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