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General NPI Number Information
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NPI Number | 1891733101
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Entity Type | Individual
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Provider Name | ANURAG K DAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 900 SOUTH AVE STE 103
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3428
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Country | US
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Telephone | 718-226-6461
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Fax | 718-226-1599
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Provider Business Mailing Address
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Address Line | 900 SOUTH AVE STE 103
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3428
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Country | US
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Telephone | 718-226-6461
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Fax | 718-226-1599
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 218003
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License Number State | MA
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