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General NPI Number Information
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NPI Number | 1164184354
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Entity Type | Organization
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Legal Business Name | HAPPY JOINTS
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 43 EAST SUSSEX AVE
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City | SEWELL
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State | NJ
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Zip | 08080-0808
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Country | US
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Telephone | 609-217-1847
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Fax |
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Provider Business Mailing Address
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Address Line | 43 EAST SUSSEX AVE
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 609-217-1847
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIREL PRAJAPATI
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Credential | PA-C
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Telephone | 609-217-1847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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