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General NPI Number Information
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NPI Number | 1134364151
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Entity Type | Individual
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Provider Name | DR. NAMITA DHIMAN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 1220 DEWEY AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-2504
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Country | US
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Telephone | 414-773-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 DEWEY AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-2504
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Country | US
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Telephone | 414-773-4312
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101254188
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 74152
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License Number State | WI
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