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General NPI Number Information
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NPI Number | 1962791285
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Entity Type | Individual
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Provider Name | DR. GULSHAN SETHI
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Gender | Male
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 85 E MAIN ST
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City | BAY SHORE
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State | NY
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Zip | 11706-8338
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Country | US
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Telephone | 515-606-7811
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WAGAMON DR
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City | WOODBURY
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State | NY
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Zip | 11797-1007
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Country | US
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Telephone | 917-574-1243
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036143994
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License Number State | IL
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Taxonomy #2
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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 #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 279308
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License Number State | NY
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