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General NPI Number Information
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NPI Number | 1942284930
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Entity Type | Individual
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Provider Name | RAHUL SENGUPTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 59 MONROE AVE SUITE B
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City | PITTSFORD
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State | NY
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Zip | 14534-1308
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Country | US
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Telephone | 585-385-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CATHEDRAL OAKS
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City | FAIRPORT
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State | NY
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Zip | 14450-4215
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Country | US
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Telephone | 585-383-0942
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 212140
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License Number State | NY
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