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General NPI Number Information
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NPI Number | 1821283656
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Entity Type | Organization
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Legal Business Name | SUWARNA NAIK PHYSICIAN PLLC
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 4156 W MAIN STREET RD
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City | BATAVIA
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State | NY
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Zip | 14020-1291
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Country | US
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Telephone | 585-344-0870
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Fax | 585-345-1420
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Provider Business Mailing Address
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Address Line | 4156 W MAIN STREET RD
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City | BATAVIA
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State | NY
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Zip | 14020-1291
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Country | US
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Telephone | 585-344-0870
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Fax | 585-345-1420
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Authorized Official
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Title or Position | FINANCIAL OFFICER
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Name | REBECCA NICOMETI
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Credential |
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Telephone | 585-344-0870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1690021
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License Number State | NY
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