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General NPI Number Information
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NPI Number | 1609034743
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Entity Type | Individual
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Provider Name | RAVI KAPOOR MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 82-70 164TH STREET C/O EMERGENCY DEPARTMENT
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-883-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 480 13TH ST APARTMENT 1
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City | BROOKLYN
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State | NY
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Zip | 11215-5207
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Country | US
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Telephone | 917-750-6452
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 239906
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License Number State | NY
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