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NPI 1811035371

NPI 1811035371 : NITIN CHHABRA M.D. : HOOVER, AL

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General NPI Number Information
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    NPI Number           |    1811035371
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    Entity Type          |    Individual 
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    Provider Name        |    NITIN CHHABRA M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/04/2007
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    Last Update Date     |    01/04/2022
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Provider Practice Location Address
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    Address Line         |    4515 SOUTHLAKE PKWY SUITE 200
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35244-3317
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    Country              |    US
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    Telephone            |    205-313-7246
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    Fax                  |    205-939-1911
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Provider Business Mailing Address
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    Address Line         |    1413 CHATTANOOGA AVE 
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    City                 |    DALTON
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    State                |    GA
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    Zip                  |    30720-2631
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    Country              |    US
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    Telephone            |    706-279-2635
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    Fax                  |    706-279-2679
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    R1017
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    90878
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    MD.29480
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    License Number State |    AL
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