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General NPI Number Information
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NPI Number | 1538246640
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Entity Type | Individual
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Provider Name | NITIN KAMDAR MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 760 MONTAUK HIGHWAY SUITE 7
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City | CENTER MORICHES
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State | NY
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Zip | 11934
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Country | US
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Telephone | 631-281-5200
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Fax | 631-909-3661
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Provider Business Mailing Address
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Address Line | 4 THE INTERVALE
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City | ROSLYN
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State | NY
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Zip | 11576
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Country | US
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Telephone | 631-281-5200
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Fax | 631-909-3661
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 190030
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License Number State | NY
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