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General NPI Number Information
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NPI Number | 1689926214
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Entity Type | Individual
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Provider Name | SUDEEP CHAWLA D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 435 NEWBURY ST STE 208
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City | DANVERS
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State | MA
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Zip | 01923-1065
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Country | US
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Telephone | 617-334-5002
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Fax | 978-208-0494
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Provider Business Mailing Address
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Address Line | 125 PALOMINO DR
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-3379
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Country | US
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Telephone | 517-420-2435
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Fax | 978-208-0494
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH-10718
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3585
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License Number State | MA
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