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General NPI Number Information
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NPI Number | 1043551443
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Entity Type | Organization
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Legal Business Name | JAIN AND KOPELMAN PSYCHIATRY, LLP
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Dates
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Enumeration Date | 03/09/2013
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Last Update Date | 03/09/2013
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Provider Practice Location Address
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Address Line | 31 W 10TH ST SUITE 2C
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City | NEW YORK
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State | NY
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Zip | 10011-8738
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Country | US
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Telephone | 212-677-2985
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHRISTOPHER ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10014-3517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LIMITED PARTNER
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Name | DR. SARGAM JAIN
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Credential | M.D.
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Telephone | 212-255-5387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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