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General NPI Number Information
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NPI Number | 1770750945
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Entity Type | Organization
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Legal Business Name | SUSHIL B. CHOKSHI, M.D., P.A.
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 217 W BELKNAP ST
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City | JACKSBORO
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State | TX
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Zip | 76458-2307
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Country | US
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Telephone | 940-567-2101
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Fax | 940-567-5522
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Provider Business Mailing Address
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Address Line | 217 W BELKNAP ST P.O. BOX 487
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City | JACKSBORO
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State | TX
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Zip | 76458-2307
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Country | US
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Telephone | 940-567-2101
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Fax | 940-567-5522
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSHIL B. CHOKSHI
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Credential | M.D.
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Telephone | 940-567-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | F5865
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License Number State | TX
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