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General NPI Number Information
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NPI Number | 1932825536
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Entity Type | Individual
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Provider Name | ERICA R CHAHADE LMT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 600 N BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10603-2466
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Country | US
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Telephone | 914-760-6047
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Fax |
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Provider Business Mailing Address
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Address Line | 131 FAIRWAYS CRESCENT COURT
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City | CAMEL
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State | NY
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Zip | 10512-5411
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Country | US
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Telephone | 914-760-6047
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 032611-01
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License Number State | NY
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