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General NPI Number Information
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NPI Number | 1821570516
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Entity Type | Individual
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Provider Name | SAMIRA ZANNAT CHANDRA MBBS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # 44195000
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City | CLEVELAND
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State | OH
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Zip | 44195-2905
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Country | US
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Telephone | 574-387-8684
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Fax |
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Provider Business Mailing Address
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Address Line | 14201 KANIS RD APT 525
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City | LITTLE ROCK
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State | AR
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Zip | 72223-4955
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Country | US
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Telephone | 574-387-8684
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1821570516
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License Number State | AR
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