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General NPI Number Information
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NPI Number | 1962047613
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Entity Type | Individual
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Provider Name | VAIDEHI V KATHIRIA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 11/16/2019
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Provider Practice Location Address
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Address Line | 441 VALLEY BROOK AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1935
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Country | US
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Telephone | 201-935-1338
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Fax | 201-935-1027
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Provider Business Mailing Address
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Address Line | 108 MARTIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07012-1111
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04063900
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License Number State | NJ
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