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General NPI Number Information
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NPI Number | 1861709156
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Entity Type | Individual
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Provider Name | PRAJAKTA V AVHAD M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 51 VERONICA AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-3448
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Country | US
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Telephone | 732-846-7000
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Fax | 732-846-7001
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Provider Business Mailing Address
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Address Line | 51 VERONICA AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-3448
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Country | US
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Telephone | 732-476-8970
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Fax | 732-846-7001
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 257357
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD472148
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 095776
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA09001500
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License Number State | NJ
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