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General NPI Number Information
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NPI Number | 1518124528
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Entity Type | Individual
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Provider Name | PRIYANKA GAMBHIR MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 32 WASHINGTON ST, SUTIE 2A
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City | TENAFLY
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State | NJ
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Zip | 07670
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Country | US
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Telephone | 201-696-1880
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Fax | 801-618-4476
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Provider Business Mailing Address
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Address Line | 32 WASHINGTON ST STE 2A
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City | TENAFLY
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State | NJ
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Zip | 07670-3220
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Country | US
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Telephone | 201-696-1880
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Fax | 801-618-4476
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08650900
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License Number State | NJ
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