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General NPI Number Information
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NPI Number | 1700445608
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Entity Type | Individual
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Provider Name | ASHWIN CHANDRA DO
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Gender | Male
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 1600 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1799
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Country | US
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Telephone | 806-212-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 OTT CT
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City | AMARILLO
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State | TX
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Zip | 79119-1822
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Country | US
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Telephone | 972-215-6784
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | O-1715
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102208164
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V2707
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | V2707
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License Number State | TX
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