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General NPI Number Information
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NPI Number | 1528170966
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Entity Type | Individual
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Provider Name | CHINMOY GULRAJANI MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 451 CLARKSON AVE A1202
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City | BROOKLYN
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State | NY
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Zip | 11203-2054
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Country | US
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Telephone | 718-245-2272
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Fax | 718-802-2939
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Provider Business Mailing Address
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Address Line | 451 CLARKSON AVE A1202
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City | BROOKLYN
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State | NY
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Zip | 11203-2054
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Country | US
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Telephone | 718-245-2272
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Fax | 718-802-2939
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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 | T2004020019
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License Number State | MO
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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 | 57755
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License Number State | MN
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