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General NPI Number Information
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NPI Number | 1598715203
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Entity Type | Individual
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Provider Name | CHELIF JUNOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2700 CITIZENS PLZ STE 300
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City | VICTORIA
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State | TX
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Zip | 77901-5757
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Country | US
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Telephone | 361-573-0756
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Fax |
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Provider Business Mailing Address
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Address Line | 119 AMBULANCE DR STE 202
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City | CARROLLTON
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State | GA
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Zip | 30117-3857
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Country | US
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Telephone | 770-838-8710
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | N3106
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License Number State | TX
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