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General NPI Number Information
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NPI Number | 1770733057
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Entity Type | Organization
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Legal Business Name | KIRIT M. PANDYA - IMRT LLC
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 900 ROUTE 70 DR KIRIT M PANDYA
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5940
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Country | US
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Telephone | 732-901-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 FRIAR CT
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-9744
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Country | US
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Telephone | 732-740-8592
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Fax | 732-449-5591
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KIRITKUMAR M PANDYA
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Credential | M.D.
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Telephone | 732-740-8592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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