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General NPI Number Information
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NPI Number | 1518758911
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Entity Type | Individual
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Provider Name | REENA MALHOTRA RN
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Gender |
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3959 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 91 E QUACKENBUSH AVE
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City | DUMONT
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State | NJ
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Zip | 07628-3036
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR24275300
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License Number State | NJ
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