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General NPI Number Information
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NPI Number | 1386779296
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Entity Type | Individual
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Provider Name | SUNIL K. DHUPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 8 TECHNOLOGY DRIVE
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City | EAST SETAUKET
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State | NY
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Zip | 11733
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Country | US
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Telephone | 631-652-0122
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Fax | 877-434-7939
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Provider Business Mailing Address
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Address Line | 47 RED GROUND ROAD
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City | OLD WESTBURY
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State | NY
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Zip | 11568
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Country | US
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Telephone | 516-967-1892
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Fax | 877-434-7939
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 189320
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License Number State | NY
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