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General NPI Number Information
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NPI Number | 1225362361
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Entity Type | Organization
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Legal Business Name | RUPA J PANCHAL MD PC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 200 CANDLEWOOD CMNS STE 206
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City | HOWELL
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State | NJ
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Zip | 07731-2169
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Country | US
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Telephone | 908-312-0543
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Fax | 732-901-3966
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Provider Business Mailing Address
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Address Line | 5 ELKRIDGE WAY
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City | MANALAPAN
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State | NJ
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Zip | 07726-3179
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Country | US
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Telephone | 732-801-7502
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Fax | 732-317-9302
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUPA J PANCHAL
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Credential | M.D.
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Telephone | 732-801-7502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07606800
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License Number State | NJ
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