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General NPI Number Information
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NPI Number | 1093467631
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Entity Type | Organization
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Legal Business Name | LONG ISLAND PULMONARY CARE
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 3400 NESCONSET HWY STE 103
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3327
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Country | US
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Telephone | 516-967-1892
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Fax |
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Provider Business Mailing Address
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Address Line | 47 RED GROUND RD
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City | OLD WESTBURY
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State | NY
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Zip | 11568-1143
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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 | MD
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Name | SUNIL DHUPER
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Credential | MD
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Telephone | 516-967-1892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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