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General NPI Number Information
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NPI Number | 1073305561
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Entity Type | Organization
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Legal Business Name | IMRAN PUNEKAR MD PHD PC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 45 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10016-3487
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Country | US
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Telephone | 855-374-6726
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Fax |
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Provider Business Mailing Address
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Address Line | 626 1ST AVE APT W45G
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City | NEW YORK
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State | NY
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Zip | 10016-3950
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Country | US
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Telephone | 585-754-6668
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. IMRAN PUNEKAR
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Credential | MD PHD
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Telephone | 855-374-6726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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