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General NPI Number Information
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NPI Number | 1285443614
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICINE NEPHROLOGY P.C.
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 1280 ALBANY POST RD
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1570
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Country | US
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Telephone | 914-271-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PEACEABLE CT
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City | THORNWOOD
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State | NY
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Zip | 10594-1199
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Country | US
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Telephone | 347-863-5291
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SANJEEV GUPTA
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Credential | MD
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Telephone | 347-863-5291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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