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General NPI Number Information
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NPI Number | 1982100459
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Entity Type | Individual
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Provider Name | ROHAN MENON MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 1 PLAINSBORO RD
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1913
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Country | US
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Telephone | 412-609-6325
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Fax |
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Provider Business Mailing Address
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Address Line | 120 NEILSON ST APT 214
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1459
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA11105900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | DC
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