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General NPI Number Information
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NPI Number | 1437310661
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Entity Type | Individual
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Provider Name | SAJINA PRABHAKARAN M.D
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Gender | Female
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2 CAPITAL WAY SUITE 550
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City | PENNINGTON
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State | NJ
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Zip | 08534-2521
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Country | US
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Telephone | 609-303-4360
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Fax | 609-303-4361
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Provider Business Mailing Address
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Address Line | 2 CAPITAL WAY STE 550
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City | PENNINGTON
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State | NJ
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Zip | 08534-2521
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Country | US
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Telephone | 609-303-4360
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Fax | 609-303-4361
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD444469
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA10044800
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License Number State | NJ
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