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General NPI Number Information
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NPI Number | 1043374499
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Entity Type | Individual
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Provider Name | MS. ARUNDHATI DUTTA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 W 57TH ST
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City | NEW YORK
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State | NY
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Zip | 10019-3320
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Country | US
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Telephone | 212-632-4792
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Fax |
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Provider Business Mailing Address
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Address Line | 40 NEWPORT PKWY APT 1610
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1518
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Country | US
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Telephone | 646-785-9496
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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