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General NPI Number Information
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NPI Number | 1528166642
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Entity Type | Individual
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Provider Name | NISHA MANANSINGH PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 160 BENEFIELD BLVD
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City | PEEKSKILL
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State | NY
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Zip | 10566-6813
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Country | US
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Telephone | 914-734-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 160 BENEFIELD BLVD
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City | PEEKSKILL
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State | NY
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Zip | 10566-6813
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00038000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 006963-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 002007
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License Number State | CT
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