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General NPI Number Information
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NPI Number | 1164848297
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Entity Type | Individual
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Provider Name | SAVITA DOOBAY
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Gender | Female
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 194 BROAD ST
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-2606
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Country | US
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Telephone | 973-748-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 21 WESTWOOD DR S
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1822
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00445800
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License Number State | NJ
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