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General NPI Number Information
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NPI Number | 1881840171
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Entity Type | Organization
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Legal Business Name | AMIT CHOKSHI MD PA
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 1325 SAN MARCO BLVD SUITE 900
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8568
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Country | US
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Telephone | 904-398-2111
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Fax | 904-346-0712
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Provider Business Mailing Address
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Address Line | 1325 SAN MARCO BLVD SUITE 900
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8568
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Country | US
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Telephone | 904-398-2111
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Fax | 904-346-0712
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Authorized Official
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Title or Position | OWNER
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Name | AMIT R CHOKSHI
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Credential | M.D.
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Telephone | 904-398-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | ME90282
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License Number State | FL
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