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General NPI Number Information
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NPI Number | 1720069735
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Entity Type | Individual
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Provider Name | ANITA CHAUDHURI MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 621 10TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1813
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Country | US
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Telephone | 716-284-7634
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Fax | 716-284-5273
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Provider Business Mailing Address
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Address Line | 820 SUFFOLK AVE STE. 208
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City | BRENTWOOD
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State | NY
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Zip | 11717-4498
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Country | US
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Telephone | 716-402-5533
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Fax | 631-891-4877
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 002269
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License Number State | NY
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