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General NPI Number Information
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NPI Number | 1992439665
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Entity Type | Organization
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Legal Business Name | CHICKY REHAB LLC
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Dates
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Enumeration Date | 07/10/2022
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Last Update Date | 07/10/2022
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Provider Practice Location Address
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Address Line | 330 E 38TH ST APT 18E
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City | NEW YORK
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State | NY
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Zip | 10016-2770
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Country | US
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Telephone | 202-321-5335
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Fax |
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Provider Business Mailing Address
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Address Line | 330 E 38TH ST APT 18E
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City | NEW YORK
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State | NY
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Zip | 10016-2770
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Country | US
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Telephone | 202-321-5335
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JASPAL SINGH
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Credential | MD
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Telephone | 202-321-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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