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General NPI Number Information
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NPI Number | 1659456804
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Entity Type | Individual
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Provider Name | REKHA J KIRTANE MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1225 GERARD AVE
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City | BRONX
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State | NY
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Zip | 10452-8001
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Country | US
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Telephone | 718-960-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 234 N VAN DIEN AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-2727
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Country | US
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Telephone | 201-445-6289
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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 | 115206
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License Number State | NY
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