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General NPI Number Information
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NPI Number | 1285156398
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Entity Type | Individual
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Provider Name | SANKETKUMAR MAHESHBHAI RANA
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Gender | Male
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 70 STARMOND AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2636
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Country | US
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Telephone | 973-930-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 60 N MADISON AVE
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City | SPRING VALLEY
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State | NY
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Zip | 10977-4811
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Country | US
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Telephone | 845-414-9115
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 041619
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License Number State | NY
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