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General NPI Number Information
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NPI Number | 1275477879
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Entity Type | Individual
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Provider Name | VIRAJ KOTHARI
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-447-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 2 COBBLESTONE CT
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City | HOLMDEL
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State | NJ
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Zip | 07733-1956
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Country | US
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Telephone | 732-675-9120
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 207XX0004X
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License Number State | NJ
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