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General NPI Number Information
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NPI Number | 1942734017
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Entity Type | Individual
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Provider Name | DR. SATISH KUMAR CHAWLA
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Gender | Male
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 5546 PORTAGE RD
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City | NIAGARA FALLS
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State | ONTARIO
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Zip | L2E 6X2
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Country | CA
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Telephone | 905-358-0171
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Fax |
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Provider Business Mailing Address
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Address Line | 5546 PORTAGE RD
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City | NIAGARA FALLS
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State | ONTARIO
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Zip | L2E 6X2
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Country | CA
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Telephone | 905-358-0171
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 270122
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 4301060745
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License Number State | MI
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