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General NPI Number Information
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NPI Number | 1841394335
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Entity Type | Individual
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Provider Name | VISWANATHAN CHOKKAVELU MD,FACP,FCCP
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 100 N SUGAR ST
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-1231
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Country | US
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Telephone | 740-695-4400
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Fax | 740-695-4148
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Provider Business Mailing Address
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Address Line | 4290 HORSE CREEK BLVD
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City | FORT MYERS
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State | FL
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Zip | 33905-8302
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Country | US
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Telephone | 740-359-0337
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Fax | 386-719-7787
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 10800
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME122458
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35100089
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License Number State | OH
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