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General NPI Number Information
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NPI Number | 1609874833
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Entity Type | Individual
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Provider Name | ARUN KUMAR BHATTACHARYYA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 51-55 RT. 9W HELEN HAYES HOSPITAL
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City | WEST HAVERSTRAW
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State | NY
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Zip | 10993-1195
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Country | US
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Telephone | 845-786-4101
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Fax | 845-786-4890
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Provider Business Mailing Address
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Address Line | 49 LONG MEADOW DR
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City | NEW CITY
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State | NY
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Zip | 10956-6223
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Country | US
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Telephone | 845-638-1855
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Fax | 845-638-1855
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 119036
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License Number State | NY
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