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NPI Code Detail

MEDICARE: CHIME LHATSO

MEDICARE: CHIME LHATSO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1205779501
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIME LHATSO
Provider Business Mailing Address
First Line : 308 WILLOW AVE
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-3808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 308 WILLOW AVE
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-3808
Country : US
Telephone Number : 201-418-3127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “ CHIME LHATSO ” Practice Location

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