Basic Information
| Provider Information | |||||||||
| NPI: | 1316108640 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHATANI-HINZE | ||||||||
| FirstName: | MAYUMI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 460 AMHERST ST | ||||||||
| Address2: | |||||||||
| City: | NASHUA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030631220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038837970 | ||||||||
| FaxNumber: | 6035953652 | ||||||||
| Practice Location | |||||||||
| Address1: | 2300 SOUTHWOOD DR | ||||||||
| Address2: | DARTMOUTH HITCHCOCK - FAMILY MEDICINE | ||||||||
| City: | NASHUA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035774440 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2008 | ||||||||
| LastUpdateDate: | 03/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0116019086 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 243165 | MA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 14864 | NH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.