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General NPI Number Information
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NPI Number | 1740318559
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Entity Type | Individual
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Provider Name | MEENAKSHI KUKREJA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 35-37 PROGRESS ST STE A3
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City | EDISON
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State | NJ
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Zip | 08820-1179
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Country | US
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Telephone | 908-510-4137
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Fax |
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Provider Business Mailing Address
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Address Line | 35-37 PROGRESS ST STE A3
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City | EDISON
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State | NJ
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Zip | 08820-1179
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Country | US
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Telephone | 908-510-4137
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA03869900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA03869900
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License Number State | NJ
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