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General NPI Number Information
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NPI Number | 1073701819
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Entity Type | Individual
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Provider Name | PARUL M KADAKIA PA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 2100 CORLIES AVE STE 12
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City | NEPTUNE
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State | NJ
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Zip | 07753-6116
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Country | US
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Telephone | 732-263-7960
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 CORLIES AVE STE 12
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City | NEPTUNE
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State | NJ
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Zip | 07753-6116
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Country | US
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Telephone | 732-263-7960
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 012282
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | P61126
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00263500
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License Number State | NJ
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