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General NPI Number Information
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NPI Number | 1780820506
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Entity Type | Organization
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Legal Business Name | CHAND K. BHAN, M.D. PC
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 1 COURTHOUSE LN UNIT 3
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City | CHELMSFORD
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State | MA
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Zip | 01824-1738
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Country | US
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Telephone | 978-453-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 1 COURTHOUSE LN UNIT 3
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City | CHELMSFORD
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State | MA
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Zip | 01824-1738
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Country | US
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Telephone | 978-453-1118
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANN PHOTHISANE
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Credential |
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Telephone | 978-934-9828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 42117
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License Number State | MA
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