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General NPI Number Information
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NPI Number | 1225362916
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Entity Type | Individual
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Provider Name | HITESH RATHOD D.D.S
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Gender | Male
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 500 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1970
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Country | US
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Telephone | 908-454-5612
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Fax | 908-454-5617
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Provider Business Mailing Address
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Address Line | 500 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1970
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Country | US
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Telephone | 908-454-5612
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Fax | 908-454-5617
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DI21097
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License Number State | NJ
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