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General NPI Number Information
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NPI Number | 1366968356
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Entity Type | Individual
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Provider Name | RUCHI HARSHADRAI NAIK MD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 267-530-3144
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 SPRUCE ST APT 1709
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4554
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Country | US
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Telephone | 631-605-6555
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MT212603
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036153056
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License Number State | IL
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