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General NPI Number Information
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NPI Number | 1841500790
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Entity Type | Individual
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Provider Name | UNNATI UPADHYAY O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 517 E 117TH ST
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City | NEW YORK
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State | NY
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Zip | 10035-4409
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Country | US
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Telephone | 212-896-5886
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Fax | 212-896-5887
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Provider Business Mailing Address
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Address Line | 7735 113TH ST APT. 6J
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City | FOREST HILLS
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State | NY
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Zip | 11375-7140
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Country | US
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Telephone | 917-238-4444
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007578
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License Number State | NY
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