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General NPI Number Information
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NPI Number | 1043856131
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Entity Type | Individual
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Provider Name | NAOZAD JAL TATA
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Gender | Male
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Dates
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Enumeration Date | 11/23/2019
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Last Update Date | 11/23/2019
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Provider Practice Location Address
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Address Line | 221 W HIGH ST STE 1000
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City | BELLEFONTE
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State | PA
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Zip | 16823-1368
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Country | US
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Telephone | 717-209-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 ESTATE DR
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City | BOALSBURG
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State | PA
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Zip | 16827-1677
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Country | US
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Telephone | 717-209-0091
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 43153601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 43153601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 43153601
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License Number State | PA
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