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General NPI Number Information
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NPI Number | 1295314334
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Entity Type | Individual
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Provider Name | JANKI THAKKAR MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1150
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Country | US
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Telephone | 718-470-4834
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Fax |
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Provider Business Mailing Address
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Address Line | 1875 DEMPSTER ST STE 330
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City | PARK RIDGE
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State | IL
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Zip | 60068-1127
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Country | US
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Telephone | 847-795-5865
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Fax | 847-723-5882
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 329158-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 125.078896
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License Number State | IL
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