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General NPI Number Information
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NPI Number | 1174517619
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Entity Type | Individual
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Provider Name | RAKSHA JOSHI MD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 270 BROADWAY LONG BRANCH
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City | LONG BRANCH
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State | NJ
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Zip | 07740-7027
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Country | US
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Telephone | 732-923-7146
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Fax | 732-923-7129
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Provider Business Mailing Address
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Address Line | 15 LUCIA CT THE CROSSING AT ABERDEEN
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City | ABERDEEN
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State | NJ
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Zip | 07747-1372
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Country | US
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Telephone | 732-213-6819
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Fax | 732-441-7474
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA 062909
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License Number State | NJ
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