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General NPI Number Information
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NPI Number | 1306973870
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Entity Type | Individual
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Provider Name | MEERA KHEDKAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone | 908-273-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 19 HOLLY ST
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City | CRANFORD
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State | NJ
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Zip | 07016-2158
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Country | US
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Telephone | 908-276-0666
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Fax | 908-276-7434
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA08059600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 25MA08059600
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License Number State | NJ
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