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General NPI Number Information
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NPI Number | 1184856882
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Entity Type | Organization
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Legal Business Name | RITA U. GORADIA, M.D. P.C.
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 1128 BRYANT ST
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City | RAHWAY
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State | NJ
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Zip | 07065-3142
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Country | US
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Telephone | 732-388-3006
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Fax | 732-388-9878
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Provider Business Mailing Address
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Address Line | 1128 BRYANT ST
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City | RAHWAY
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State | NJ
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Zip | 07065-3142
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Country | US
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Telephone | 732-388-3006
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Fax | 732-388-9878
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | UMESH B GORADIA
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Credential |
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Telephone | 732-388-3006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA67142
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License Number State | NJ
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