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General NPI Number Information
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NPI Number | 1285944108
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Entity Type | Organization
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Legal Business Name | PRAKASHCHANDRA PARIKH PHYSICIAN PC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 06/29/2015
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Provider Practice Location Address
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Address Line | 111 CARLETON AVE STE 6 SUITE 6
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City | ISLIP TERRACE
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State | NY
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Zip | 11752-2236
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Country | US
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Telephone | 631-581-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CARLETON AVE STE 6 SUITE 6
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City | ISLIP TERRACE
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State | NY
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Zip | 11752-2236
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Country | US
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Telephone | 631-581-0300
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DONNA FRASER
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Credential |
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Telephone | 631-581-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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