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General NPI Number Information
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NPI Number | 1205013810
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Entity Type | Individual
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Provider Name | DEVEN J UNADKAT DO
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Gender | Male
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 270 -05 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-470-7501
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PARKSIDE DR APT D1E
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City | CARLE PLACE
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State | NY
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Zip | 11514-1052
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Country | US
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Telephone | 516-414-7263
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 245743
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License Number State | NY
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