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General NPI Number Information
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NPI Number | 1457531873
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Entity Type | Individual
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Provider Name | NITHAN NARENDRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 4422 3RD AVE DEPT. OF MEDICINE
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City | BRONX
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State | NY
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Zip | 10457-2545
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Country | US
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Telephone | 718-960-6205
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Fax |
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Provider Business Mailing Address
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Address Line | 339 E 22ND ST APT. 1
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City | NEW YORK
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State | NY
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Zip | 10010-4809
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Country | US
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Telephone | 516-849-7720
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 244968
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License Number State | NY
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