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General NPI Number Information
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NPI Number | 1689873457
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Entity Type | Individual
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Provider Name | ASHISH UPADHYAY MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1389 W MAIN ST STE 123
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City | WATERBURY
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State | CT
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Zip | 06708-3104
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Country | US
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Telephone | 475-337-7463
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BANBURY CRES
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City | UNIONVILLE
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State | CT
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Zip | 06085-1187
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Country | US
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Telephone |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 54595
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License Number State | CT
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