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General NPI Number Information
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NPI Number | 1770105611
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Entity Type | Individual
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Provider Name | AMALA CHACKO MD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 3649 CEDAR RD APARTMENT NUMBER 1506
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City | ABILENE
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State | TX
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Zip | 79606
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Country | US
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Telephone | 872-238-3692
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 PINE STREET HENDRICK MEDICAL CENTER
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City | ABILENE
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State | TX
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Zip | 79601
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Country | US
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Telephone | 325-670-2000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 125076606
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License Number State | IL
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