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General NPI Number Information
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NPI Number | 1609900844
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY PLLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 9A CENTRAL PARK AVE
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City | YONKERS
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State | NY
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Zip | 10705-4746
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Country | US
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Telephone | 914-376-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 9A CENTRAL PARK AVE
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City | YONKERS
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State | NY
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Zip | 10705-4746
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Country | US
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Telephone | 914-376-3330
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANASH K DASGUPTA
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Credential | M.D.
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Telephone | 914-376-3330
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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 | 129957
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License Number State | NY
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