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General NPI Number Information
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NPI Number | 1679781488
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Entity Type | Organization
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Legal Business Name | SUNIL G. NILIMA P, CHAND PARTNERSHIP
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 1035 E KARSCH BLVD STE B
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City | FARMINGTON
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State | MO
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Zip | 63640-3404
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Country | US
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Telephone | 573-756-7880
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Fax | 573-756-2669
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | FARMINGTON
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State | MO
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Zip | 63640-0749
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Country | US
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Telephone | 573-756-7880
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Fax | 573-756-2669
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Authorized Official
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Title or Position | PARTNER, OWNER
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Name | DR. SUNIL G. CHAND
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Credential | M.D.
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Telephone | 573-756-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2007006310
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License Number State | MO
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