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General NPI Number Information
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NPI Number | 1598799520
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Entity Type | Organization
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Legal Business Name | D.M. UPADHYAYA, M.D., P.A.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 6801 US HIGHWAY 27 N STE A-1
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City | SEBRING
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State | FL
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Zip | 33870-7840
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Country | US
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Telephone | 863-382-1144
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Fax | 863-382-1779
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Provider Business Mailing Address
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Address Line | 6801 US HIGHWAY 27 N STE A-1
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City | SEBRING
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State | FL
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Zip | 33870-7840
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Country | US
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Telephone | 863-382-1144
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Fax | 863-382-1779
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIPAKKUMAR M UPADHYAYA
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Credential | MD
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Telephone | 863-382-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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