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General NPI Number Information
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NPI Number | 1831163278
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Entity Type | Individual
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Provider Name | SAPNA SURESHKUMAR BRAHMBHATT M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 55 SCHANCK RD SUITE A-4
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City | FREEHOLD
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State | NJ
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Zip | 07728-2964
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Country | US
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Telephone | 732-683-2083
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Fax | 732-683-2477
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Provider Business Mailing Address
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Address Line | 1437 70TH ST
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-3859
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Country | US
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Telephone | 732-845-9442
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Fax | 732-683-2477
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | MA72976
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 206768
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License Number State | NY
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