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General NPI Number Information
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NPI Number | 1629539556
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Entity Type | Organization
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Legal Business Name | TELEMEDICINE PC
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 06/06/2020
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Provider Practice Location Address
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Address Line | 1000 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1003
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Country | US
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Telephone | 718-638-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 1434 WILLIAMSBRIDGE RD FL 2
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City | BRONX
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State | NY
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Zip | 10461-2507
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Country | US
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Telephone | 718-618-0401
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Fax |
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Authorized Official
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Title or Position | MD, OWNER
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Name | DR. SUMIR SAHGAL
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Credential |
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Telephone | 718-618-0401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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