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General NPI Number Information
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NPI Number | 1588870232
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Entity Type | Individual
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Provider Name | BHAVADARANI M PRAGASPATHY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 666 PLAINSBORO RD
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3030
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Country | US
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Telephone | 609-799-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CHESAPEAKE RD
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-3078
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Country | US
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Telephone | 732-985-0909
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MA82479
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License Number State | NJ
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