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General NPI Number Information
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NPI Number | 1679889315
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Entity Type | Individual
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Provider Name | TANUJ P PALVIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 281 BROADWAY 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10007-1831
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Country | US
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Telephone | 646-596-7386
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Fax | 646-360-2739
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Provider Business Mailing Address
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Address Line | 281 BROADWAY 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10007-1831
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Country | US
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Telephone | 646-596-7386
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Fax | 646-360-2739
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA09528400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA09528400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 263710
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License Number State | NY
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