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General NPI Number Information
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NPI Number | 1972721538
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Entity Type | Individual
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Provider Name | MANISHA AMISH PUROHIT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1537 S HIGLEY RD
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City | GILBERT
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State | AZ
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Zip | 85296-4771
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Country | US
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Telephone | 480-257-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 E CEDAR PL
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City | CHANDLER
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State | AZ
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Zip | 85249-3799
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Country | US
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Telephone | 480-529-6124
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35870
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License Number State | AZ
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