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General NPI Number Information
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NPI Number | 1205015542
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Entity Type | Organization
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Legal Business Name | SATISH K MONGIA MD PC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 320 PRATHER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6820
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Country | US
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Telephone | 716-487-1161
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Fax | 716-487-1163
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Provider Business Mailing Address
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Address Line | 320 PRATHER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6820
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Country | US
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Telephone | 716-487-1161
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Fax | 716-487-1163
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Authorized Official
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Title or Position | BOOKKEEPER/ASSISTANT
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Name | FAITH/CLAUDIA M SENSKE/ TOTH
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Credential |
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Telephone | 716-487-1161
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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 | 123791
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License Number State | NY
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