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General NPI Number Information
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NPI Number | 1457594004
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Entity Type | Individual
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Provider Name | AMISH ATULBHAI NAIK M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE STE 230
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 201-716-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 1992 MORRIS AVE PMB 348
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City | UNION
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State | NJ
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Zip | 07083
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Country | US
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Telephone | 973-440-3444
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA10635100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 25MA10635100
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License Number State | NJ
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