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NPI 1922400860

NPI 1922400860 : SONAL CHAND DPT : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1922400860
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    Entity Type          |    Individual 
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    Provider Name        |    SONAL CHAND DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/23/2014
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    Last Update Date     |    09/23/2014
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Provider Practice Location Address
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    Address Line         |    33 LINCOLN AVE 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-7963
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    Country              |    US
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    Telephone            |    203-702-2747
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 OAK RIDGE DR 
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    City                 |    NEWTOWN
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    State                |    CT
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    Zip                  |    06470-2457
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    Country              |    US
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    Telephone            |    203-501-0104
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    008403
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    10331-24
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    03405
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    License Number State |    IA
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