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General NPI Number Information
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NPI Number | 1760679765
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Entity Type | Organization
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Legal Business Name | MR CHOHAN, M.D.
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 4685 LIBERTY AVE
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City | VERMILION
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State | OH
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Zip | 44089-3242
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Country | US
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Telephone | 440-967-3149
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Fax |
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Provider Business Mailing Address
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Address Line | 4685 LIBERTY AVE
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City | VERMILION
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State | OH
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Zip | 44089-3242
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Country | US
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Telephone | 440-967-3149
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Fax |
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Authorized Official
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Title or Position | SOLE PROPERTSHIP
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Name | DR. MR CHOHAN
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Credential | M.D.
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Telephone | 440-967-3149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-039174
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License Number State | OH
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