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General NPI Number Information
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NPI Number | 1871553982
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Entity Type | Individual
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Provider Name | BURHAN F CHINIKHANWALA MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 3003 HIWAY 95 STE 100
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-7860
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Country | US
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Telephone | 928-704-5400
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Fax | 928-704-5411
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Provider Business Mailing Address
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Address Line | 3003 HIWAY 95 STE 100
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-7860
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Country | US
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Telephone | 928-704-5400
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Fax | 928-704-5411
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 28160
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License Number State | AZ
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