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General NPI Number Information
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NPI Number | 1871531889
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Entity Type | Individual
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Provider Name | RUHUL AHMED CHOUDHURY MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 3080 N HIGHWAY 25 W
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City | WILLIAMSBURG
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State | KY
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Zip | 40769-8602
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Country | US
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Telephone | 606-549-9107
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Fax | 606-549-9862
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Provider Business Mailing Address
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Address Line | 292 N MAIN ST
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City | JELLICO
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State | TN
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Zip | 37762-2132
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Country | US
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Telephone | 423-784-3600
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Fax | 423-784-4602
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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 | 34311
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License Number State | KY
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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 | 30920
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 30920
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License Number State | TN
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