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General NPI Number Information
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NPI Number | 1861782641
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Entity Type | Individual
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Provider Name | NIKHIL THAKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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Country | US
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Telephone | 609-303-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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Country | US
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Telephone | 609-303-4244
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Fax |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 51685
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA11778300
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License Number State | NJ
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