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General NPI Number Information
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NPI Number | 1033554969
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Entity Type | Individual
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Provider Name | KANIKA TREHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 1501 LANSDOWNE AVE STE 307
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City | DARBY
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State | PA
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Zip | 19023-1333
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Country | US
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Telephone | 610-534-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 670-772-6889
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0090056
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License Number State | MD
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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 | MD479906
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License Number State | PA
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