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General NPI Number Information
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NPI Number | 1821375809
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Entity Type | Individual
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Provider Name | GANGADHARA CHANDU
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Gender | Male
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 400 RED BROOK BLVD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5172
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Country | US
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Telephone | 312-121-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RED BROOK BLVD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5172
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Country | US
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Telephone | 312-121-2222
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 44444444444444444444
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License Number State | IA
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