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General NPI Number Information
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NPI Number | 1447279179
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Entity Type | Individual
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Provider Name | PARUL SAXENA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 700 S. PERRY ST ST. MARY'S HOSPITAL FAM HLTH CNTR AT JOHNSTOWN PEDIATRI
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City | JOHNSTOWN
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State | NY
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Zip | 12095
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Country | US
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Telephone | 518-762-3161
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Fax | 518-762-4902
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Provider Business Mailing Address
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Address Line | 427 GUY PARK AVE ST. MARY'S HEALTHCARE; CORPORATE RESPONSIBILITY/LEGAL D
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City | AMSTERDAM
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State | NY
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Zip | 12010-1054
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Country | US
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Telephone | 518-770-7518
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Fax | 518-770-7570
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 183830
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License Number State | NY
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