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General NPI Number Information
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NPI Number | 1740671130
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Entity Type | Organization
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Legal Business Name | BAY AREA INFECTIOUS DISEASE
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Dates
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Enumeration Date | 02/07/2015
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Last Update Date | 02/07/2015
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Provider Practice Location Address
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Address Line | 369 LEXINGTON AVE 160 ST
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City | NEW YORK
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State | NY
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Zip | 10017-6506
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Country | US
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Telephone | 646-237-7849
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Fax |
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Provider Business Mailing Address
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Address Line | 369 LEXINGTON AVE 160 ST
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City | NEW YORK
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State | NY
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Zip | 10017-6506
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Country | US
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Telephone | 646-237-7849
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NEELAM TANEJA UPPAL
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Credential | M.D.
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Telephone | 646-237-7849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 184610
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number | 184610
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 184610
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 184610
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License Number State | NY
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