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General NPI Number Information
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NPI Number | 1114019700
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Entity Type | Individual
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Provider Name | ALLAMPRABHU SAHEBGOUDA PATIL MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 1 COUNTRY MEADOW CT
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City | MELVILLE
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State | NY
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Zip | 11747-2026
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Country | US
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Telephone | 631-367-6427
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Fax | 631-367-6234
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Provider Business Mailing Address
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Address Line | 1 COUNTRY MEADOW CT
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City | MELVILLE
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State | NY
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Zip | 11747-2026
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Country | US
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Telephone | 516-586-6330
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Fax | 516-586-6326
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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 | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | 179697
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 179697
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 179697
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 179697
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 179697
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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License Number | 179697
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 179697
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License Number State | NY
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