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General NPI Number Information
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NPI Number | 1366530198
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Entity Type | Organization
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Legal Business Name | MANU R. GADANI, MD PC INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 5303 PLAZA DR SUITE--101
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City | HOPEWELL
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State | VA
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Zip | 23860-7331
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Country | US
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Telephone | 804-458-3629
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Fax |
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Provider Business Mailing Address
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Address Line | 5303 PLAZA DR SUITE--101
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City | HOPEWELL
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State | VA
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Zip | 23860-7331
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Country | US
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Telephone | 804-458-3629
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANU R GADANI
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Credential | MD
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Telephone | 804-458-2006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101053054
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License Number State | VA
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