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General NPI Number Information
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NPI Number | 1679548929
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Entity Type | Organization
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Legal Business Name | ASWINI K CHOUDHURY
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 433 ROUTE 52
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City | LAKE CARMEL
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State | NY
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Zip | 10512-6001
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Country | US
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Telephone | 845-225-5004
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Fax |
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Provider Business Mailing Address
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Address Line | 433 ROUTE 52
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City | LAKE CARMEL
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State | NY
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Zip | 10512-6001
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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 | SOLE PROPRIETOR
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Name | ASWINI K CHOUDHURY
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Credential |
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Telephone | 845-225-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 154369
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License Number State | NY
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