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General NPI Number Information
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NPI Number | 1891188736
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Entity Type | Individual
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Provider Name | AMARJIT SINGH CHHATWAL DPM
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Gender | Male
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 2321 BLACK ROCK TPKE
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City | FAIRFIELD
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State | CT
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Zip | 06825-3220
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Country | US
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Telephone | 917-346-7302
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Fax |
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Provider Business Mailing Address
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Address Line | 8962 SW 142ND AVE APT 1204
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City | MIAMI
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State | FL
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Zip | 33186-7854
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Country | US
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Telephone | 917-346-7302
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 19.000922
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License Number State | CT
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