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General NPI Number Information
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NPI Number | 1407992845
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Entity Type | Individual
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Provider Name | UJWALA S MULGAONKAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 65 E NORTHFIELD RD SUITE A
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4231
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Country | US
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Telephone | 973-992-0810
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Fax | 973-992-9435
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Provider Business Mailing Address
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Address Line | 1 KENWOOD CT
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City | NORTH CALDWELL
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State | NJ
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Zip | 07006-4138
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Country | US
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Telephone | 973-228-4376
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MA42553
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License Number State | NJ
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