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General NPI Number Information
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NPI Number | 1144232950
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Entity Type | Individual
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Provider Name | KANISHK MAKHIJA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 80 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06106-3300
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Country | US
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Telephone | 860-545-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 206 1/2 S CHURCHILL CIR
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City | NORTH SIOUX CITY
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State | SD
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Zip | 57049-5311
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Country | US
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Telephone | 267-606-3230
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD441917
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License Number State | PA
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