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General NPI Number Information
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NPI Number | 1518195825
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Entity Type | Individual
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Provider Name | ANURADHA C CHALLA M.D.,
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Gender | Female
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 800 N JUSTICE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3410
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Country | US
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Telephone | 828-696-4250
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Fax | 828-696-4256
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Provider Business Mailing Address
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Address Line | 323 N STATE ST
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City | CARO
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State | MI
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Zip | 48723-1537
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Country | US
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Telephone | 989-673-6191
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2019-00312
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301094811
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C161974
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | TP391
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 49709
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License Number State | KY
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