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General NPI Number Information
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NPI Number | 1710286208
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Entity Type | Organization
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Legal Business Name | AVI PANDEY, M.D., PC.
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 6118 190TH ST SUITE 229
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-2723
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Country | US
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Telephone | 718-454-1040
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Fax | 718-454-7992
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Provider Business Mailing Address
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Address Line | 8045 SURREY PL
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City | JAMAICA
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State | NY
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Zip | 11432-1450
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Country | US
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Telephone | 718-454-1040
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Fax | 718-454-7992
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. AVI K PANDEY
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Credential | M.D.
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Telephone | 718-454-1040
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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 | 171605
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License Number State | NY
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