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General NPI Number Information
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NPI Number | 1528556263
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH CHOUAKE MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 135 CROSSWAYS PARK DR STE 108
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City | WOODBURY
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State | NY
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Zip | 11797-2005
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Country | US
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Telephone | 986-299-9861
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Fax |
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Provider Business Mailing Address
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Address Line | 135 CROSSWAYS PARK DR STE 108
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City | WOODBURY
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State | NY
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Zip | 11797-2005
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Country | US
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Telephone | 516-299-9861
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 330135
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 330135
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License Number State | NY
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