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General NPI Number Information
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NPI Number | 1891092086
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Entity Type | Organization
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Legal Business Name | CHANCHAL DEWAN, MD.,F.A.A.P.,INC.
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 2250 W WHITTIER BLVD SUITE 100
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City | LA HABRA
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State | CA
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Zip | 90631-3470
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Country | US
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Telephone | 562-690-4075
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Fax | 562-690-4185
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Provider Business Mailing Address
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Address Line | 2250 W WHITTIER BLVD SUITE 100
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City | LA HABRA
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State | CA
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Zip | 90631-3470
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Country | US
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Telephone | 562-690-4075
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHANCHAL DEWAN
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Credential | M.D.
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Telephone | 562-690-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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