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General NPI Number Information
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NPI Number | 1730223066
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Entity Type | Individual
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Provider Name | SUZANNE JOSE CHAUDHRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 45104 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-2310
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Country | US
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Telephone | 661-948-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 5650 JILLSON ST
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City | COMMERCE
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State | CA
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Zip | 90040-1482
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Country | US
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Telephone | 323-201-4516
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0068623
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License Number State | MD
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