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General NPI Number Information
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NPI Number | 1790262616
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Entity Type | Individual
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Provider Name | SUCHETA A SATHE LMT
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 401 RIDGE RD STE 1
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City | DAYTON
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State | NJ
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Zip | 08810-3300
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Country | US
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Telephone | 732-230-3076
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Fax | 732-230-3079
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Provider Business Mailing Address
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Address Line | 10 EDDIE CT
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City | DAYTON
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State | NJ
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Zip | 08810-1640
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Country | US
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Telephone | 732-230-3076
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Fax | 732-230-3079
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT00314400
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License Number State | NJ
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