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General NPI Number Information
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NPI Number | 1710605837
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Entity Type | Organization
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Legal Business Name | VINRJ LLC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 155 MAIN DUNSTABLE RD STE 140
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City | NASHUA
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State | NH
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Zip | 03060-3666
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Country | US
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Telephone | 603-577-1965
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Fax |
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Provider Business Mailing Address
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Address Line | A2 COLONIAL DR UNIT 8
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City | ANDOVER
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State | MA
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Zip | 01810-7308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | RAHUL J BILODARIYA
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Credential |
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Telephone | 781-608-1131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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