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General NPI Number Information
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NPI Number | 1184616930
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Entity Type | Organization
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Legal Business Name | MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 4988 STATE HIGHWAY 30 AMSTERDAM MEMORIAL SUITE 201
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City | AMSTERDAM
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State | NY
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Zip | 12010-7520
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Country | US
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Telephone | 518-428-5119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11719 MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC
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City | ALBANY
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State | NY
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Zip | 12211-0719
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Country | US
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Telephone | 185-389-1725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMSHAID A MINHAS
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Credential | MD
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Telephone | 518-389-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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