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General NPI Number Information
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NPI Number | 1962938944
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Entity Type | Individual
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Provider Name | JACIENTA PAILY VALIPLACKAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 967 N BROADWAY MEDICAL EDUCATION DEPARTMENT
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City | YONKERS
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State | NY
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Zip | 10701-1301
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Country | US
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Telephone | 914-798-8971
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Fax |
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Provider Business Mailing Address
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Address Line | 185 RYKOWSKI LN STE 101
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4055
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Country | US
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Telephone | 914-843-7265
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Fax | 845-692-0037
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 299731
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License Number State | NY
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