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General NPI Number Information
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NPI Number | 1861858540
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Entity Type | Individual
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Provider Name | MANINDER DHALIWAL
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 212 W ROUTE 38 STE 700
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3283
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Country | US
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Telephone | 347-493-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SPRINGHOUSE CT
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City | BORDENTOWN
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State | NJ
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Zip | 08505-4739
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Country | US
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Telephone | 347-493-4212
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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