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General NPI Number Information
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NPI Number | 1376922542
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Entity Type | Organization
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Legal Business Name | SONALI LAL PHYSICIAN PC
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 240 W 73RD ST
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City | NEW YORK
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State | NY
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Zip | 10023-2700
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Country | US
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Telephone | 212-362-4742
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Fax | 212-412-9043
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Provider Business Mailing Address
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Address Line | 240 W 73RD ST
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City | NEW YORK
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State | NY
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Zip | 10023-2700
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Country | US
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Telephone | 212-362-4742
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Fax | 212-787-5275
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. POOJA KHANNA
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Credential | DO
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Telephone | 603-943-3758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 240678
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License Number State | NY
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