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General NPI Number Information
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NPI Number | 1710257837
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Entity Type | Organization
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Legal Business Name | BINA CHAUDHARI-MODY, MD PC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 4370 KISSENA BLVD # 1L
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City | FLUSHING
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State | NY
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Zip | 11355-3769
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Country | US
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Telephone | 718-539-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 4370 KISSENA BLVD # 1L
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City | FLUSHING
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State | NY
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Zip | 11355-3769
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MS. BINA CHAUDHARI-MODY
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Credential | MD
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Telephone | 718-539-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 211043
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License Number State | NY
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