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General NPI Number Information
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NPI Number | 1457471799
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Entity Type | Individual
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Provider Name | APARNA REPAKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 1 ROBERT WOOD JOHNSON PL MEB 478
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1928
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Country | US
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Telephone | 732-235-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 39 GINGER DR
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City | EDISON
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State | NJ
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Zip | 08837-3081
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Country | US
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Telephone | 732-235-6105
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301088662
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 094863
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA08993800
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License Number State | NJ
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