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General NPI Number Information
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NPI Number | 1447204615
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Entity Type | Individual
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Provider Name | RANVIR AHLAWAT M.D
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 137 ATLANTIC CITY BLVD STE 1
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City | BEACHWOOD
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State | NJ
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Zip | 08722-2935
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Country | US
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Telephone | 732-693-2097
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Fax | 732-244-0046
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Provider Business Mailing Address
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Address Line | 137 ATLANTIC CITY BLVD STE 1
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City | BEACHWOOD
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State | NJ
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Zip | 08722-2935
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Country | US
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Telephone | 732-693-2097
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Fax | 732-244-0046
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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 | 25MA074727
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25MA074727
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07472700
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License Number State | NJ
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