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General NPI Number Information
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NPI Number | 1700053592
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Entity Type | Individual
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Provider Name | ASHISH CHANDWANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 220 RIDGEDALE AVE SUITE C2
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1361
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Country | US
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Telephone | 973-538-5844
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Fax | 973-538-3650
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-0300
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Country | US
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Telephone | 973-538-5844
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 240501
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD433997
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA08420800
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License Number State | NJ
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