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General NPI Number Information
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NPI Number | 1902826589
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Entity Type | Individual
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Provider Name | BHAVINI S CHANDARANA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 315 ROUTE 34 STE 135
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City | COLTS NECK
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State | NJ
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Zip | 07722-2444
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Country | US
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Telephone | 732-414-6499
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Fax | 844-890-8439
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | COLTS NECK
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State | NJ
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Zip | 07722-0069
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Country | US
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Telephone | 732-414-6499
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Fax | 844-890-8439
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MA07852000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25MA07852000
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License Number State | NJ
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