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General NPI Number Information
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NPI Number | 1104011618
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Entity Type | Individual
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Provider Name | AJITH K KARAYIL MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 1575 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10472-2912
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Country | US
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Telephone | 718-842-8900
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Fax | 718-589-7952
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Provider Business Mailing Address
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Address Line | 34 INVERNESS CT
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5113
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Country | US
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Telephone | 606-909-2289
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Fax | 718-589-7952
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40424
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 251400
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License Number State | NY
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