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General NPI Number Information
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NPI Number | 1679858567
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Entity Type | Individual
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Provider Name | AMIR RAHIM CHAUDHARI DO
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Gender | Male
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-8800
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ED0224A
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 04565
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 66973
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 66973
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License Number State | WI
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