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General NPI Number Information
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NPI Number | 1740334267
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Entity Type | Individual
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Provider Name | MONIR CHAUDHRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 560 W 3RD ST
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City | JAMESTOWN
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State | NY
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Zip | 14701
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Country | US
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Telephone | 716-483-2603
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Fax | 716-483-2828
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Provider Business Mailing Address
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Address Line | 560 W 3RD ST
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City | JAMESTOWN
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State | NY
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Zip | 14701-4776
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Country | US
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Telephone | 716-483-2603
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Fax | 716-483-2828
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A87591
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD444265
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 003515
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License Number State | NY
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