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General NPI Number Information
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NPI Number | 1548256738
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Entity Type | Individual
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Provider Name | MILIND M VAZE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 727 WELSH RD SUITE-101
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6357
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Country | US
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Telephone | 215-914-0600
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Fax | 215-914-0115
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Provider Business Mailing Address
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Address Line | 727 WELSH RD SUITE-101
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6357
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Country | US
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Telephone | 215-914-0600
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Fax | 215-914-0115
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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 | MD051961L
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License Number State | PA
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