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General NPI Number Information
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NPI Number | 1699051532
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Entity Type | Organization
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Legal Business Name | PRAFUL VORA MDPC
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 249 ELM DR
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City | WAYNESBURG
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State | PA
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Zip | 15370-8275
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Country | US
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Telephone | 724-627-8131
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Fax | 724-627-5271
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Provider Business Mailing Address
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Address Line | 249 ELM DR
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City | WAYNESBURG
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State | PA
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Zip | 15370-8275
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Country | US
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Telephone | 724-627-8131
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Fax | 724-627-5271
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PRAFUL VORA
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Credential | MD
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Telephone | 724-627-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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