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General NPI Number Information
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NPI Number | 1831280650
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Entity Type | Individual
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Provider Name | ASIT PATNAIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 1235 WHITEHORSE MERCERVILLE RD STE 316 BLDG C
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City | MERCERVILLE
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State | NJ
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Zip | 08619-3810
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Country | US
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Telephone | 609-581-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 100 STARBOARD WAY
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-6116
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Country | US
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Telephone | 856-313-6071
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Fax | 855-538-9804
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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 | MA08157800
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License Number State | NJ
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