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General NPI Number Information
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NPI Number | 1467287185
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Entity Type | Individual
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Provider Name | MAITRI N PADIYA APN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 90 BRICK RD FL 3
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City | MARLTON
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State | NJ
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Zip | 08053-2177
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Country | US
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Telephone | 856-355-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-355-0340
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 26NR17089000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ15144800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ15144800
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License Number State | NJ
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