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General NPI Number Information
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NPI Number | 1164809661
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Entity Type | Individual
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Provider Name | NEERU KAPUR
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Gender | Female
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 107 INSTITUTE ST # NA
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City | JAMESTOWN
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State | NY
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Zip | 14701-6628
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Country | US
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Telephone | 716-484-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 77 GOODELL ST SUITE 240T
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City | BUFFALO
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State | NY
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Zip | 14203-1243
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 293887
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License Number State | NY
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