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General NPI Number Information
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NPI Number | 1518274398
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Entity Type | Individual
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Provider Name | AISHA B. CHAUDHRY MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 15535 34TH AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55447-1585
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Country | US
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Telephone | 763-581-5950
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Fax | 763-581-5951
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Provider Business Mailing Address
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Address Line | 3300 OAKDALE AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2926
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Country | US
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Telephone | 763-520-2000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12556
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 63449
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License Number State | MN
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