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General NPI Number Information
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NPI Number | 1629586250
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Entity Type | Individual
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Provider Name | POOJA CHHABRA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 17 W BROAD ST
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City | LANSE
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State | MI
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Zip | 49946-1015
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Country | US
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Telephone | 954-647-4712
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Fax |
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Provider Business Mailing Address
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Address Line | 17 W BROAD ST
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City | LANSE
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State | MI
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Zip | 49946-1015
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Country | US
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Telephone | 906-524-3445
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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