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General NPI Number Information
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NPI Number | 1932091444
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Entity Type | Individual
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Provider Name | SHAAN ILAHI CHAUDHRI MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 501 BATH RD
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City | BRISTOL
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State | PA
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Zip | 19007-3101
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Country | US
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Telephone | 215-785-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 HELLER DR
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City | YARDLEY
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State | PA
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Zip | 19067-2714
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Country | US
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Telephone | 215-321-1800
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT234740
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License Number State | PA
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