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General NPI Number Information
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NPI Number | 1730310699
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Entity Type | Organization
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Legal Business Name | PREMIER INTERNAL MEDICINE OF ASHEBORO, PLLC
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 610 N FAYETTEVILLE ST SUITE 103
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City | ASHEBORO
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State | NC
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Zip | 27203-4670
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Country | US
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Telephone | 336-625-1285
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Fax |
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Provider Business Mailing Address
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Address Line | 610 N FAYETTEVILLE ST SUITE 103
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City | ASHEBORO
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State | NC
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Zip | 27203-4670
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Country | US
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Telephone | 336-625-1285
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. TANVIR A CHODRI
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Credential | MD
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Telephone | 336-625-1285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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