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General NPI Number Information
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NPI Number | 1679586069
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Entity Type | Individual
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Provider Name | SMITHA NARASIMHASWAMY M.D.,
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5237
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Country | US
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Telephone | 732-942-3588
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 VILLAGE DR
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City | AVENEL
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State | NJ
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Zip | 07001-1052
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Country | US
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Telephone | 732-680-0641
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08133300
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License Number State | NJ
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