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General NPI Number Information
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NPI Number | 1285976126
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Entity Type | Organization
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Legal Business Name | NARENDRA A KUMTHEKAR PHYSICIAN PC
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 1700 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-3943
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Country | US
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Telephone | 914-843-8996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | HARRISON
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State | NY
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Zip | 10528-0429
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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 | PRESIDENT
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Name | DR. NARENDRA A KUMTHEKAR
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Credential | M.D.
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Telephone | 914-843-8996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 224765
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License Number State | NY
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