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General NPI Number Information
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NPI Number | 1760774848
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Entity Type | Organization
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Legal Business Name | RAMESH S. NAIK PHYSICIANS P.L.L.C.
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 05/09/2011
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Provider Practice Location Address
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Address Line | 105 STEVENS AVE 508
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-667-8899
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Fax | 914-667-2440
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Provider Business Mailing Address
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Address Line | 105 STEVENS AVE 508
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-667-8899
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Fax | 914-667-2440
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. RAMESH NAIK
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Credential | M.D.
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Telephone | 914-667-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 174770
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License Number State | NY
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