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General NPI Number Information
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NPI Number | 1972774248
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Entity Type | Organization
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Legal Business Name | DILIP S. DOCTOR, MD PC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 98120 QUEENS BLVD
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City | REGO PARK
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State | NY
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Zip | 11374-4357
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Country | US
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Telephone | 718-275-5800
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Fax | 718-897-6767
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Provider Business Mailing Address
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Address Line | 98120 QUEENS BLVD
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City | REGO PARK
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State | NY
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Zip | 11374-4357
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Country | US
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Telephone | 718-275-5800
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Fax | 718-897-6767
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Authorized Official
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Title or Position | MD PC
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Name | DILIP S. DOCTOR
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Credential |
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Telephone | 718-275-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 122256
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License Number State | NY
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