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General NPI Number Information
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NPI Number | 1750305835
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Entity Type | Individual
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Provider Name | SRINIVAS JANARDHAN MADANE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 222 HIGH STREET STE 102
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City | NEWTON
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State | NJ
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Zip | 07860-9604
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Country | US
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Telephone | 973-579-5090
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Fax | 973-579-7409
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Provider Business Mailing Address
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Address Line | 33 RIDGELINE DR
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3376
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Country | US
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Telephone | 732-739-4400
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Fax | 732-739-8809
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA07289400
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License Number State | NJ
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