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General NPI Number Information
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NPI Number | 1356723084
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Entity Type | Individual
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Provider Name | VISHAL PHAKEY D.O
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Gender | Male
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 333 LAUREL OAK RD
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 844-542-2273
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Fax | 856-770-9194
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Provider Business Mailing Address
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Address Line | 333 LAUREL OAK RD
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City | VOORHEES
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State | NJ
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Zip | 08043-4453
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Country | US
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Telephone | 844-542-2273
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Fax | 856-770-9194
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB10094400
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License Number State | NJ
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