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General NPI Number Information
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NPI Number | 1053529628
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Entity Type | Organization
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Legal Business Name | PRAKASH AMIN ,MD , PA
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2211 WHITEHORSE-MERCERVILLE ROAD
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City | MERCERVILLE
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 698-587-2255
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Fax | 609-587-7255
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Provider Business Mailing Address
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Address Line | 2211 WHITEHORSE-MERCERVILLE ROAD
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City | MERCERVILLE
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 698-587-2255
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Fax | 609-587-7255
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PRAKASH P AMIN
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Credential | MD
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Telephone | 609-587-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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