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General NPI Number Information
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NPI Number | 1649363151
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Entity Type | Individual
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Provider Name | SUJANA S. CHANDRASEKHAR MD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 18 E 48TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10017-1014
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Country | US
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Telephone | 646-868-4300
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Fax | 646-868-4495
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Provider Business Mailing Address
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Address Line | 660 WHITE PLAINS RD FL 4
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City | TARRYTOWN
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State | NY
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Zip | 10591-5139
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Country | US
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Telephone | 914-984-2546
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 25MA06045800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 178192
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 1781921
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License Number State | NY
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