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General NPI Number Information
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NPI Number | 1356575666
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Entity Type | Individual
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Provider Name | DR. RISHI SOOD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 3 E 101ST ST APARTMENT 12 H
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City | NEW YORK
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State | NY
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Zip | 10029-6528
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Country | US
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Telephone | 804-305-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 3 E 101ST ST APARTMENT 12 H
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City | NEW YORK
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State | NY
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Zip | 10029-6528
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Country | US
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Telephone | 804-305-0493
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 261587
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 261587
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 261587
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License Number State | NY
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