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General NPI Number Information
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NPI Number | 1174941736
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Entity Type | Individual
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Provider Name | PRANAYJIT ADSULE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1138
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Country | US
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Telephone | 718-918-4875
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Fax |
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Provider Business Mailing Address
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Address Line | 3213 WISCONSIN AVE NW APT 3 APT-605
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City | WASHINGTON
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State | DC
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Zip | 20016-3827
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Country | US
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Telephone | 571-242-1895
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 203576
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD042276
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 281045
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License Number State | NY
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