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General NPI Number Information
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NPI Number | 1194589119
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Entity Type | Organization
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Legal Business Name | DUKE DIAGNOSTICS INC
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 1890 NEW YORK AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2904
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Country | US
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Telephone | 631-566-1967
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Fax | 631-966-5116
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Provider Business Mailing Address
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Address Line | 29 YOAKUM AVE
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City | FARMINGDALE
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State | NY
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Zip | 11735-5056
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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 | OWNER/PRESIDENT
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Name | RAJAT KHURANA
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Credential |
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Telephone | 516-754-2744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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