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General NPI Number Information
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NPI Number | 1699884254
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Entity Type | Individual
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Provider Name | ASHWINI KORGAONKAR
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 190 STATE ROUTE 18 STE 203
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1407
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Country | US
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Telephone | 732-238-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 38 PELMONT PL
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City | PISCATAWAY
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State | NJ
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Zip | 08854-3653
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Country | US
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Telephone | 732-560-0044
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00891600
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License Number State | NJ
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