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General NPI Number Information
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NPI Number | 1659571057
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Entity Type | Individual
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Provider Name | DR. DHANANJAY ARUN CHITALE
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Gender | Male
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD HENRY FORD HOSPITAL, PATHOLOGY, K-6
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-916-4235
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Fax |
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Provider Business Mailing Address
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Address Line | 2799 W GRAND BLVD HENRY FORD HOSPITAL, PATHOLOGY, K-6
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-916-4235
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301071804
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 4301071804
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License Number State | MI
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