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General NPI Number Information
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NPI Number | 1639280662
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Entity Type | Individual
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Provider Name | RAVI C CHADALAVADA MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD
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City | BATTLE CREEK
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State | MI
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Zip | 49015-1014
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Country | US
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Telephone | 269-966-5600
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Fax | 269-660-5040
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Provider Business Mailing Address
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Address Line | 134 PHEASANT RUN
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City | BATTLE CREEK
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State | MI
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Zip | 49015-7942
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Country | US
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Telephone |
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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 | 4301069429
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License Number State | MI
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