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General NPI Number Information
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NPI Number | 1295058790
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Entity Type | Individual
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Provider Name | NITIN NIGAM MD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 124 SUNSET CT
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-2429
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Country | US
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Telephone | 803-744-0155
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Fax | 803-931-0076
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Provider Business Mailing Address
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Address Line | 124 SUNSET CT
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-2429
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Country | US
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Telephone | 803-744-0155
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Fax | 803-931-0076
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301095784
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 94696
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 87451
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 201802495
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License Number State | NC
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