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General NPI Number Information
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NPI Number | 1982240636
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Entity Type | Individual
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Provider Name | REKHA VARGHESE PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 1945 ROUTE 70 E STE D
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2160
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Country | US
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Telephone | 856-237-8045
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Fax | 856-237-8047
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-237-8045
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Fax | 856-237-8047
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00555400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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