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General NPI Number Information
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NPI Number | 1881987584
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Entity Type | Organization
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Legal Business Name | SATPAL RATHOUR MEDICINE PC
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 1250 WILLIAM FLOYD PKWY
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City | SHIRLEY
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State | NY
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Zip | 11967-1809
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Country | US
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Telephone | 631-913-3529
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Fax | 631-657-3273
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Provider Business Mailing Address
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Address Line | 1250 WILLIAM FLOYD PKWY
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City | SHIRLEY
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State | NY
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Zip | 11967-1809
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Country | US
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Telephone | 631-913-3529
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Fax | 631-657-3273
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SATPAL SINGH RATHOUR
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Credential | M.D
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Telephone | 631-949-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 253470
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License Number State | NY
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