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General NPI Number Information
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NPI Number | 1215913793
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Entity Type | Individual
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Provider Name | RANJIT S PANDIT MD
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Gender | Male
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 10 N MAIN ST
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City | BRISTOL
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State | CT
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Zip | 06010-8102
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Country | US
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Telephone | 860-589-5230
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Fax | 860-589-5297
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Provider Business Mailing Address
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Address Line | 76 DEL PRADO DR
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City | BRISTOL
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State | CT
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Zip | 06010-2333
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Country | US
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Telephone | 860-589-6191
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 021624
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License Number State | CT
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