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General NPI Number Information
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NPI Number | 1427027440
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Entity Type | Individual
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Provider Name | DAVID ALAN ULLMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 11/22/2007
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Provider Practice Location Address
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Address Line | 1300 MASSACHUSETTS AVE
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City | TROY
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State | NY
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Zip | 12180-1628
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Country | US
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Telephone | 518-268-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5693 STATE HIGHWAY ROUTE 10 NORTH PO BOX 648
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City | PALATINE BRIDGE
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State | NY
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Zip | 13428-0648
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Country | US
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Telephone | 518-673-3722
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Fax | 518-673-3196
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 161907
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License Number State | NY
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