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General NPI Number Information
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NPI Number | 1972343051
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Entity Type | Organization
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Legal Business Name | DOCSHAY1LLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 777 WHITE PLAINS RD STE 4A
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City | SCARSDALE
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State | NY
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Zip | 10583-5022
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Country | US
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Telephone | 914-588-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 62 HEMLOCK DR
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1025
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Country | US
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Telephone | 914-588-0330
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AKSHAY GUPTA
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Credential | DO
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Telephone | 914-588-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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