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General NPI Number Information
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NPI Number | 1730025487
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Entity Type | Individual
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Provider Name | RAINA PANDYA BHANDERI APRN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 295 W GRAND AVE
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City | MONTVALE
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State | NJ
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Zip | 07645-1895
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Country | US
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Telephone | 201-252-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 118 GROVE ST
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City | MAHWAH
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State | NJ
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Zip | 07430-1214
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Country | US
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Telephone | 832-928-6373
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15526500
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License Number State | NJ
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