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General NPI Number Information
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NPI Number | 1760800031
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Entity Type | Individual
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Provider Name | SARIKA CHANDIRAMANI
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 4950 NORTON HEALTHCARE BLVD STE 208
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City | LOUISVILLE
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State | KY
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Zip | 40241-2847
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Country | US
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Telephone | 502-614-4179
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Fax | 502-614-4450
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-3619
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 54879
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125064574
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036.142925
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 2021010211
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License Number State | MO
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