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General NPI Number Information
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NPI Number | 1710189741
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Entity Type | Individual
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Provider Name | HEMA DHOLAKIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 2 FORDHAM RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5507
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Country | US
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Telephone | 973-570-6803
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Fax | 739-860-1187
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Provider Business Mailing Address
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Address Line | 2 FORDHAM RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5507
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Country | US
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Telephone | 973-570-6803
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Fax | 973-860-1187
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 231026
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA07969700
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License Number State | NJ
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