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General NPI Number Information
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NPI Number | 1235072315
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Entity Type | Individual
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Provider Name | ADITYA PINANG DOCTOR
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Gender | Male
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 35 ROOSEVELT AVE
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City | SYOSSET
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State | NY
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Zip | 11791-3061
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Country | US
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Telephone | 518-229-2045
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Fax |
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Provider Business Mailing Address
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Address Line | 111 COLLARD ST APT 1L
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City | JERSEY CITY
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State | NJ
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Zip | 07306-3550
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 054232
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License Number State | NY
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