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General NPI Number Information
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NPI Number | 1902082332
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Entity Type | Individual
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Provider Name | PAUL T CHERIAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 4121FAIRVIEW AVE C/O DR. EN # 103AS A. ENAS
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City | DOWNERS GROVE
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State | IL
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Zip | 60515
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Country | US
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Telephone | 630-960-1844
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Fax | 630-852-0244
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Provider Business Mailing Address
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Address Line | 7006 WILCOX AVE
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City | DARIEN
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State | IL
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Zip | 60561-3532
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Country | US
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Telephone | 630-769-9603
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Fax | 630-961-9554
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | IL
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