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General NPI Number Information
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NPI Number | 1437448115
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Entity Type | Individual
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Provider Name | VINNIDHY H DAVE DO
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Gender | Male
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 350 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-894-3690
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Fax | 201-894-5264
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Provider Business Mailing Address
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Address Line | 535 E 70TH ST STE 835W
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City | NEW YORK
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State | NY
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Zip | 10021-4823
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Country | US
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Telephone |
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 275556
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License Number State | NY
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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 | 25MB09456500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 25MB09456500
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License Number State | NJ
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