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General NPI Number Information
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NPI Number | 1811905961
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Entity Type | Individual
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Provider Name | AJAY NANAVATI MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4 COURTHOUSE LN UNIT 1-3
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City | CHELMSFORD
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State | MA
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Zip | 01824-1728
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Country | US
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Telephone | 978-293-0089
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Fax | 617-636-4822
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Provider Business Mailing Address
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Address Line | 9 KITSON PARK DR
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City | LEXINGTON
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State | MA
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Zip | 02421-8109
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Country | US
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Telephone | 603-557-7034
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Fax | 617-636-4822
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12534
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 220686
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License Number State | MA
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