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General NPI Number Information
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NPI Number | 1831394899
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Entity Type | Individual
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Provider Name | VATSAL DOSHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 306 MAIN ST 2ND FLOOR
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City | MILLBURN
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State | NJ
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Zip | 07041-1178
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Country | US
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Telephone | 973-467-2020
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Fax | 973-467-2030
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Provider Business Mailing Address
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Address Line | 306 MAIN ST 2ND FLOOR
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City | MILLBURN
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State | NJ
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Zip | 07041-1178
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Country | US
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Telephone | 973-467-2020
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Fax | 973-467-2030
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 243156
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA70894
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MAO8558900
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License Number State | NJ
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