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General NPI Number Information
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NPI Number | 1295056018
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Entity Type | Individual
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Provider Name | SANDEEP SINGH TULI D.O
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Gender | Male
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 82-68 164TH STREET DEPARTMENT OF RADIOLOGY
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-883-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 67 WESTWOOD CIR
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1841
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Country | US
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Telephone | 516-467-5674
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 239921
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 239921
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License Number State | NY
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