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General NPI Number Information
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NPI Number | 1831187707
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Entity Type | Individual
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Provider Name | AMIT SANYAL MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 27 INDUSTRIAL AVE STE 101
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City | SANFORD
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State | ME
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Zip | 04073-5846
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Country | US
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Telephone | 207-459-1666
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Fax | 207-661-8537
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Provider Business Mailing Address
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Address Line | 27 INDUSTRIAL AVE STE 101
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City | SANFORD
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State | ME
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Zip | 04073-5846
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Country | US
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Telephone | 207-459-1666
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Fax | 207-661-8537
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 25075
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25075
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | MD25646
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License Number State | ME
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