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General NPI Number Information
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NPI Number | 1811902240
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Entity Type | Organization
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Legal Business Name | DHIREN GANDHI MD LLC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 240 MATHISTOWN RD SUITE 215
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City | LITTLE EGG HARBOR
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State | NJ
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Zip | 08087-4061
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Country | US
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Telephone | 609-294-4232
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Fax | 609-294-4235
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Provider Business Mailing Address
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Address Line | 240 MATHISTOWN RD
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-4061
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Country | US
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Telephone | 609-294-4232
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Fax | 609-294-4235
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Authorized Official
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Title or Position | PRINCIPAL MEMBER
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Name | DHIREN K GANDHI
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Credential | MD
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Telephone | 609-294-4232
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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 | MA07935900
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License Number State | NJ
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