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General NPI Number Information
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NPI Number | 1598917874
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Entity Type | Organization
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Legal Business Name | DIABETES AND THYROID CENTER, PLLC
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 970 N BROADWAY SUITE 309
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City | YONKERS
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State | NY
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Zip | 10701-1309
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Country | US
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Telephone | 914-207-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 970 N BROADWAY SUITE 309
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City | YONKERS
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State | NY
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Zip | 10701-1309
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Country | US
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Telephone | 914-207-0004
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | BINAYA SHRESTHA
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Credential | MD
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Telephone | 914-207-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 239631
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License Number State | NY
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