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General NPI Number Information
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NPI Number | 1629185764
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Entity Type | Organization
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Legal Business Name | CHIMAN I PATEL LLC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 144 GOLDEN HILL ST SUITE 202
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City | BRIDGEPORT
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State | CT
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Zip | 06604-4117
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Country | US
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Telephone | 203-243-0929
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Fax | 203-331-8288
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Provider Business Mailing Address
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Address Line | 144 GOLDEN HILL ST SUITE 202
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City | BRIDGEPORT
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State | CT
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Zip | 06604-4117
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Country | US
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Telephone | 203-243-0929
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Fax | 203-331-8288
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Authorized Official
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Title or Position | OWNER/PSYCHIATRIST
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Name | DR. CHIMAN I PATEL
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Credential | MD
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Telephone | 203-243-0929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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