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General NPI Number Information
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NPI Number | 1487691820
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Entity Type | Individual
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Provider Name | USHA TANDON MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 8004 190TH ST
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City | HOLLIS
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State | NY
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Zip | 11423-1039
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Country | US
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Telephone | 718-224-6802
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Fax | 718-224-6444
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Provider Business Mailing Address
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Address Line | 6708 212TH ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2508
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Country | US
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Telephone | 718-224-6802
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Fax | 718-224-6444
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 150216
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 150216
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License Number State | NY
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