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General NPI Number Information
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NPI Number | 1093745473
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Entity Type | Individual
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Provider Name | BEHDOKHT DANESHVAR MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 1015 NEW RD 2ND FLOOR
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1660
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Country | US
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Telephone | 609-485-0300
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Fax | 609-646-7140
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Provider Business Mailing Address
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Address Line | 1015 NEW RD 2ND FLOOR
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1660
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Country | US
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Telephone | 609-485-0300
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Fax | 609-646-7140
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA069585
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MA06958500
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License Number State | NJ
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