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General NPI Number Information
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NPI Number | 1902910425
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Entity Type | Individual
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Provider Name | MANJEET S CHAWLA MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 850 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60613-3077
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Country | US
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Telephone | 773-975-6749
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Fax |
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Provider Business Mailing Address
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Address Line | 5 KINGSTON DR
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City | OAK BROOK
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State | IL
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Zip | 60523-1757
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Country | US
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Telephone | 630-323-9749
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Fax | 630-323-9757
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | IL
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