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General NPI Number Information
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NPI Number | 1003804964
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Entity Type | Individual
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Provider Name | AMIT S KHAROD MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 901 W MAIN ST SUITE 107
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-308-4202
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Fax | 732-308-4212
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Provider Business Mailing Address
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Address Line | 901 W MAIN ST SUITE 107
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-308-4202
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Fax | 732-308-4212
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD068352L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA08240200
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License Number State | NJ
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