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General NPI Number Information
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NPI Number | 1497798706
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Entity Type | Individual
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Provider Name | FRANK WOHLSEIN TELANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 145 WAVERLY AVE
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City | PATCHOGUE
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State | NY
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Zip | 11772-2181
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Country | US
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Telephone | 631-758-6445
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Fax | 631-758-6379
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Provider Business Mailing Address
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Address Line | 8 VERMONT AVE
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-6115
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Country | US
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Telephone | 631-344-3169
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Fax | 631-828-2290
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 222694
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License Number State | NY
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