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General NPI Number Information
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NPI Number | 1619458643
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Entity Type | Organization
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Legal Business Name | DR. CHAUDHRY PLLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 28A
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City | BOCA RATON
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State | FL
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Zip | 33431
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Country | US
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Telephone | 561-855-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 28A
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City | BOCA RATON
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State | FL
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Zip | 33431-4517
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Country | US
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Telephone | 561-855-1999
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Fax |
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Authorized Official
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Title or Position | ALLERGIST & IMMUNOLOGIST
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Name | DR. RABIA QUDDUS CHAUDHRY
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Credential | MD
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Telephone | 561-855-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 123352
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License Number State | FL
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