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General NPI Number Information
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NPI Number | 1891139093
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Entity Type | Organization
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Legal Business Name | BELLA CHOKSHI DO PA
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 5626 HIGH FLYER RD E
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7713
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Country | US
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Telephone | 386-334-6637
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Fax |
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Provider Business Mailing Address
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Address Line | 5626 HIGH FLYER RD E
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7713
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Country | US
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Telephone | 386-334-6637
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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. BELLA PATEL CHOKSHI
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Credential | D.O.
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Telephone | 386-334-6637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS 11930
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License Number State | FL
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