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General NPI Number Information
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NPI Number | 1962133538
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Entity Type | Individual
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Provider Name | ESHA JAIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1825 JOHN F KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07305-2106
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Country | US
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Telephone | 201-207-4622
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 HARBOR BLVD APT 4314
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City | WEEHAWKEN
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State | NJ
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Zip | 07086-7755
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Country | US
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Telephone | 917-232-4290
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 101010101
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA12709100
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License Number State | NJ
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