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General NPI Number Information
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NPI Number | 1518314442
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Entity Type | Individual
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Provider Name | SUNIL TRIMBAK CHITNIS
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Gender | Male
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 1810 MAPLEWOOD AVE
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City | FLINT
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State | MI
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Zip | 48506-3780
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Country | US
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Telephone | 810-232-6423
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Fax |
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Provider Business Mailing Address
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Address Line | G3064 MILLER RD APT 706
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City | FLINT
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State | MI
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Zip | 48507-1342
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Country | US
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Telephone | 226-400-3157
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302034448
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License Number State | MI
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