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General NPI Number Information
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NPI Number | 1952399784
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Entity Type | Individual
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Provider Name | TANVIR ANWAR CHODRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 610 N FAYETTEVILLE ST SUITE 300
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City | ASHEBORO
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State | NC
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Zip | 27203-4670
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Country | US
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Telephone | 336-633-4020
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Fax | 336-633-4069
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Provider Business Mailing Address
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Address Line | 610 N FAYETTEVILLE ST SUITE 300
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City | ASHEBORO
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State | NC
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Zip | 27203-4670
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Country | US
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Telephone | 336-633-4020
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Fax | 336-633-4069
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 200300323
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 200300323
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 200300323
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License Number State | NC
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