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General NPI Number Information
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NPI Number | 1417937046
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Entity Type | Individual
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Provider Name | VIDYA NARASIMHAN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 341 ROUTE 312
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City | BREWSTER
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State | NY
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Zip | 10509-2328
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Country | US
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Telephone | 914-241-0567
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 556
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City | MILLWOOD
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State | NY
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Zip | 10546-0556
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Country | US
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Telephone | 914-241-0567
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 198281
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License Number State | NY
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