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General NPI Number Information
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NPI Number | 1063747509
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Entity Type | Individual
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Provider Name | RIPPLE SHABEG SANDHU MD, MSC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLAZA BROOKDALE HOSPITAL MEDICAL CENTER
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-240-5364
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Fax |
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Provider Business Mailing Address
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Address Line | 125 COURT ST APT 7 I SOUTH
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City | BROOKLYN
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State | NY
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Zip | 11201-5663
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Country | US
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Telephone | 718-300-2443
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 270438
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License Number State | NY
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