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General NPI Number Information
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NPI Number | 1285262774
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Entity Type | Individual
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Provider Name | NISHA BENGALI MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 110 REHILL AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2519
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Country | US
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Telephone | 908-685-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 465 SOUTH ST STE 103
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6442
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Country | US
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Telephone | 908-281-1199
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Fax | 908-281-4311
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA11986800
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License Number State | NJ
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