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General NPI Number Information
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NPI Number | 1922350677
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Entity Type | Organization
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Legal Business Name | CHANDER PLLC
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 8970 W TROPICANA AVE STE 6
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City | LAS VEGAS
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State | NV
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Zip | 89147-8137
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Country | US
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Telephone | 702-473-5333
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Fax | 702-473-5444
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Provider Business Mailing Address
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Address Line | 8970 W TROPICANA AVE STE 6
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City | LAS VEGAS
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State | NV
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Zip | 89147-8137
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Country | US
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Telephone | 702-473-5333
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Fax | 702-473-5444
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Authorized Official
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Title or Position | MNG MBR
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Name | KESHAV CHANDER
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Credential | MD
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Telephone | 702-473-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 14636
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 14381
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License Number State | NV
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