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General NPI Number Information
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NPI Number | 1609226166
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Entity Type | Individual
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Provider Name | NIMIT DHOLAKIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 21 W END AVE APT 2418
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City | NEW YORK
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State | NY
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Zip | 10023-7986
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Country | US
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Telephone | 508-423-2347
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Fax |
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Provider Business Mailing Address
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Address Line | 21 W END AVE APT 2418
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City | NEW YORK
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State | NY
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Zip | 10023-7986
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Country | US
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Telephone | 508-423-2347
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301110363
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 314464
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License Number State | NY
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