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NPI 1619953700

NPI 1619953700 : SWARANJIT K CHANI M.D. : HORSE CAVE, KY

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General NPI Number Information
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    NPI Number           |    1619953700
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    Entity Type          |    Individual 
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    Provider Name        |    SWARANJIT K CHANI M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/20/2005
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    Last Update Date     |    12/07/2012
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Provider Practice Location Address
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    Address Line         |    207 E MAIN ST 
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    City                 |    HORSE CAVE
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    State                |    KY
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    Zip                  |    42749-1114
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    Country              |    US
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    Telephone            |    270-786-2372
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    Fax                  |    270-786-2472
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Provider Business Mailing Address
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    Address Line         |    150 S HEWITT RD 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42103-8803
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    Country              |    US
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    Telephone            |    270-843-1037
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    33125
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    License Number State |    KY
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