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NPI 1851911457

NPI 1851911457 : AKANKSHA GULATI MBBS : LEBANON, NH

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General NPI Number Information
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    NPI Number           |    1851911457
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    Entity Type          |    Individual 
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    Provider Name        |    AKANKSHA GULATI MBBS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2020
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    1 MEDICAL CENTER DR 
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    City                 |    LEBANON
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    State                |    NH
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    Zip                  |    03756-0001
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    Country              |    US
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    Telephone            |    603-650-5000
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    Fax                  |    603-650-5000
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Provider Business Mailing Address
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    Address Line         |    55 N LAKE AVE DEPARTMENT OF NEUROLOGY
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01655
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    Country              |    US
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    Telephone            |    508-801-9155
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    33566
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    License Number State |    NH
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