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General NPI Number Information
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NPI Number | 1992178966
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Entity Type | Organization
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Legal Business Name | FIRST-AID URGENT CARE,PLLC
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 1 CIVIC CENTER PLZ
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3156
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Country | US
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Telephone | 845-473-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 13 MOHAWK TRL
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City | KATONAH
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State | NY
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Zip | 10536-2908
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Country | US
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Telephone | 845-473-2400
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | SUNIL GUPTA
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Credential | MD
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Telephone | 845-473-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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