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General NPI Number Information
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NPI Number | 1700117058
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Entity Type | Individual
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Provider Name | SALONI MANISH WADIA MD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 17810 WEXFORD TER 1K
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City | JAMAICA
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State | NY
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Zip | 11432-3050
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Country | US
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Telephone | 718-658-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 11818 UNION TPKE 20 K AND A
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City | KEW GARDENS
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State | NY
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Zip | 11415-1037
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Country | US
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Telephone | 718-702-5289
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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 | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 254699
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License Number State | NY
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