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General NPI Number Information
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NPI Number | 1891744355
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Entity Type | Individual
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Provider Name | NISHA GANDHI MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 350 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-894-3322
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Fax | 201-894-0585
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Provider Business Mailing Address
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Address Line | 375 ENGLE ST SECOND FLOOR
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1823
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Country | US
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Telephone | 201-871-6073
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Fax | 201-655-6159
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MA07768000
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License Number State | NJ
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