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General NPI Number Information
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NPI Number | 1396700795
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Entity Type | Individual
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Provider Name | SANNA KALIKA MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 200 CRAIG RD STE 105
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City | MANALAPAN
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State | NJ
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Zip | 07726-8735
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Country | US
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Telephone | 718-913-4433
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Fax | 866-886-6548
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Provider Business Mailing Address
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Address Line | 126 5TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10011-5631
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Country | US
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Telephone | 646-880-4465
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 331087014
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 760760601
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 043851266
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07968600
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License Number State | NJ
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