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General NPI Number Information
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NPI Number | 1104084045
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Entity Type | Individual
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Provider Name | SHEFALI TRIVEDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 333 E 93RD ST APT #3N
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City | NEW YORK
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State | NY
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Zip | 10128-5503
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Country | US
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Telephone | 973-768-9077
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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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 |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 249670
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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