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General NPI Number Information
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NPI Number | 1770822124
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Entity Type | Organization
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Legal Business Name | CHADDHER ENTERPRISE INC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 14413 STATE ROUTE 30
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City | MALONE
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State | NY
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Zip | 12953-5527
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Country | US
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Telephone | 518-521-3663
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Fax |
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Provider Business Mailing Address
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Address Line | 14416 NYS ROUTE 30
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City | MALONE
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State | NY
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Zip | 12953
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MOHAMMAD AFZAL
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Credential |
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Telephone | 518-585-2276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | EGC-4217
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License Number State | NY
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