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General NPI Number Information
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NPI Number | 1154128429
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Entity Type | Individual
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Provider Name | PREETI KAKKAR
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-4580
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Fax | 212-746-9010
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Provider Business Mailing Address
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Address Line | 313 CREEK DR APT 58
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City | RADNOR
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State | PA
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Zip | 19087-5225
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Country | US
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Telephone | 916-750-6911
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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 | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 2003511052
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License Number State | NY
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