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General NPI Number Information
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NPI Number | 1215170972
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Entity Type | Individual
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Provider Name | NILOY DASGUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 550 BROADVIEW AVE STE 102
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City | WARRENTON
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State | VA
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Zip | 20186-2036
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Country | US
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Telephone | 888-628-8272
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Fax |
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Provider Business Mailing Address
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Address Line | 723 BRANDYWINE DR
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City | BEAR
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State | DE
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Zip | 19701-1274
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Country | US
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Telephone | 571-265-9715
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0011791
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | D0095506
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | C1-0011791
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | C1-0011791
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License Number State | DE
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