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General NPI Number Information
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NPI Number | 1194712695
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Entity Type | Individual
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Provider Name | PRIYA D MOHANTY M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 1020 YOUNGS ROAD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221
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Country | US
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Telephone | 716-961-9900
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Fax | 716-961-9910
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Provider Business Mailing Address
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Address Line | 4498 MAIN ST #23
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City | AMHERST
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State | NY
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Zip | 14226-3826
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Country | US
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Telephone | 716-961-9938
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Fax | 716-961-9910
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 224111
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License Number State | NY
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