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General NPI Number Information
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NPI Number | 1902071079
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Entity Type | Organization
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Legal Business Name | P.CHIRANAND MDSC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 326 W 64TH ST STE 202
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City | CHICAGO
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State | IL
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Zip | 60621-3114
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Country | US
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Telephone | 630-790-2929
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Fax | 630-790-2930
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Provider Business Mailing Address
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Address Line | PO BOX 21574
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City | CHICAGO
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State | IL
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Zip | 60621-0574
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Country | US
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Telephone | 630-790-2929
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Fax | 630-790-2930
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PINIT CHIRANAND
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Credential | M.D.
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Telephone | 630-790-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036050748
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License Number State | IL
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