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General NPI Number Information
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NPI Number | 1528320611
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Entity Type | Individual
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Provider Name | CHRYSSANTHI KARACHALIOS D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 2325 31ST ST
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City | ASTORIA
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State | NY
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Zip | 11105-2298
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Country | US
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Telephone | 718-932-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 42 OAK ST
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City | HICKSVILLE
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State | NY
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Zip | 11801-3238
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Country | US
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Telephone |
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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 | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | 283570-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 283570
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License Number State | NY
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