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General NPI Number Information
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NPI Number | 1235478033
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Entity Type | Individual
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Provider Name | TIKIKIL FIRDU M.D., M.P.H
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Gender | Female
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 123 FRANKLIN CORNER RD SUITE 214
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2526
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Country | US
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Telephone | 609-896-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BENJAMIN CT
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City | PRINCETON JUNCTION
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State | NJ
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Zip | 08550-3307
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Country | US
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Telephone | 609-317-5174
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA09448900
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License Number State | NJ
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