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General NPI Number Information
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NPI Number | 1174145924
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Entity Type | Individual
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Provider Name | MANDEEP KUNWAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 1901 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029-7494
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Country | US
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Telephone | 212-423-7155
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Fax | 212-423-6341
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Provider Business Mailing Address
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Address Line | 1901 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029-7494
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Country | US
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Telephone | 212-423-7155
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Fax | 212-423-6341
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 326733
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License Number State | NY
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