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General NPI Number Information
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NPI Number | 1659559417
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Entity Type | Organization
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Legal Business Name | CHATUR J BABARIA MD PC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 22707 S ELLSWORTH RD STE H-103
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-6131
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Country | US
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Telephone | 480-677-3494
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Fax | 480-677-4319
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Provider Business Mailing Address
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Address Line | 22707 S ELLSWORTH RD STE H-103
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-6131
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Country | US
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Telephone | 480-677-3494
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Fax | 480-677-4319
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHATUR J BABARIA
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Credential | MD
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Telephone | 480-677-3494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32966
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License Number State | AZ
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