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General NPI Number Information
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NPI Number | 1265667026
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Entity Type | Organization
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Legal Business Name | WASHINGTON HEIGHTS G I P C
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 481 FORT WASHINGTON AVE SUITE 8
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City | NEW YORK
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State | NY
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Zip | 10033-4654
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Country | US
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Telephone | 212-740-4290
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Fax | 212-740-4292
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Provider Business Mailing Address
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Address Line | 481 FORT WASHINGTON AVE SUITE 8
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City | NEW YORK
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State | NY
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Zip | 10033-4654
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Country | US
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Telephone | 212-740-4290
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Fax | 212-740-4292
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Authorized Official
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Title or Position | PRESIDENT
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Name | GOPAL NARASIMHAN
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Credential | D.O.
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Telephone | 212-740-4290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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