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General NPI Number Information
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NPI Number | 1083703680
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Entity Type | Individual
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Provider Name | AMITASRIGOWRI SREENIVASA MURTHY MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 462 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-263-1404
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Fax | 212-263-8887
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Provider Business Mailing Address
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Address Line | 150 E 85TH ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10028-2300
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Country | US
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Telephone | 212-452-2743
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 233349-1
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License Number State | NY
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