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General NPI Number Information
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NPI Number | 1437134061
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Entity Type | Individual
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Provider Name | KEDAR A. GOKHALE MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 466 OLD HOOK RD SUITE 1
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City | EMERSON
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State | NJ
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Zip | 07630
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Country | US
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Telephone | 201-967-8221
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Fax | 201-634-9647
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Provider Business Mailing Address
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Address Line | 466 OLD HOOK RD SUITE 1
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City | EMERSON
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State | NJ
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Zip | 07630
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Country | US
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Telephone | 201-967-8221
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Fax | 201-634-9647
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA063997
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06399700
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License Number State | NJ
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