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General NPI Number Information
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NPI Number | 1700228384
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Entity Type | Individual
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Provider Name | GAURAV NANDA
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 01/09/2021
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Provider Practice Location Address
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Address Line | 4401 PENN AVE RANGOS RESEARCH BLDG, 5TH FLOOR ADMIN 7
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-5574
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 PENN AVE RANGOS RESEARCH BLDG, 5TH FLOOR ADMIN 7
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-5574
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | MT203420
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License Number State | PA
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