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General NPI Number Information
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NPI Number | 1053491597
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Entity Type | Individual
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Provider Name | NINA INAMDAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 1450 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06902-2451
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Country | US
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Telephone | 203-327-9321
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Fax | 203-967-2140
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Provider Business Mailing Address
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Address Line | 190 GOLDENS BRIDGE RD
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City | KATONAH
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State | NY
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Zip | 10536-2810
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Country | US
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Telephone | 914-401-8053
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Fax | 914-401-8053
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 040502
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License Number State | CT
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