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General NPI Number Information
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NPI Number | 1972998631
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Entity Type | Individual
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Provider Name | HARIHARAN VENKATACHALAM IYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 83 HANOVER RD STE 260
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1520
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Country | US
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Telephone | 732-426-3420
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Fax | 848-800-4668
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Provider Business Mailing Address
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Address Line | 200 SCHULZ DR STE 2
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City | RED BANK
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State | NJ
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Zip | 07701-6745
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Country | US
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Telephone | 732-426-3420
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Fax | 732-747-2606
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.146159
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 25MA11239000
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License Number State | NJ
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