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General NPI Number Information
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NPI Number | 1326636119
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Entity Type | Organization
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Legal Business Name | MAGNOLIA RHEUMATOLOGY, P.C.
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 2 OVERHILL ROAD SUITE 220
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City | SCARSDALE
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State | NY
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Zip | 10583-5336
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Country | US
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Telephone | 914-639-2700
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Fax | 833-992-2090
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Provider Business Mailing Address
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Address Line | 2 OVERHILL ROAD SUITE 220
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City | SCARSDALE
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State | NY
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Zip | 10583-5336
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Country | US
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Telephone | 914-639-2700
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Fax | 833-992-2090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUCHI JAIN
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Credential | MD
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Telephone | 914-639-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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