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General NPI Number Information
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NPI Number | 1053840967
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Entity Type | Individual
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Provider Name | ROHAN VAIDYA DO
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Gender | Male
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 6535 NEMOURS PKWY
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City | ORLANDO
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State | FL
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Zip | 32827-7884
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Country | US
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Telephone | 407-567-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 13220 GRANGER AVE
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City | ORLANDO
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State | FL
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Zip | 32827-3856
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Country | US
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Telephone | 408-806-7655
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | OS19873
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License Number State | FL
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