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General NPI Number Information
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NPI Number | 1902151152
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Entity Type | Individual
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Provider Name | ALI NASIR CHHOTANI MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/22/2023
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Provider Practice Location Address
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Address Line | 850 S MAIN ST
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8906
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Country | US
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Telephone | 984-960-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 104 MEDSPRING DR STE 100
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City | CLAYTON
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State | NC
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Zip | 27520-9687
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Country | US
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Telephone | 919-359-3500
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Fax | 919-359-3501
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 2014-00107
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2014-00107
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License Number State | NC
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