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General NPI Number Information
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NPI Number | 1023108941
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Entity Type | Individual
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Provider Name | MAULIK TRIVEDI MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 50 W BROAD ST STE 1330
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City | COLUMBUS
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State | OH
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Zip | 43215-3307
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Country | US
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Telephone | 908-663-2929
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 717
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City | LIVINGSTON
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State | NJ
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Zip | 07039-0717
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Country | US
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Telephone |
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA06924800
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License Number State | NJ
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