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General NPI Number Information
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NPI Number | 1285459834
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Entity Type | Organization
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Legal Business Name | ELITE GASTROENTEROLOGY LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 196 PRINCETON HIGHTSTOWN RD BLDG 1B
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City | WEST WINDSOR
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State | NJ
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Zip | 08550
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Country | US
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Telephone | 718-605-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | HOLMDEL
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State | NJ
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Zip | 07733-0413
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIRANPREET PARMAR
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Credential | MD
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Telephone | 718-605-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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