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General NPI Number Information
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NPI Number | 1992785455
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Entity Type | Individual
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Provider Name | NIRANJANA SHAH THAKER MD
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 05/17/2008
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Provider Practice Location Address
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Address Line | 88 CENTER RD SUITE 250B
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City | BEDFORD
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State | OH
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Zip | 44146-2700
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Country | US
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Telephone | 440-439-9797
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Fax | 440-439-9775
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Provider Business Mailing Address
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Address Line | 88 CENTER RD SUITE 250B
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City | BEDFORD
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State | OH
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Zip | 44146-2700
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Country | US
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Telephone | 440-439-9797
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Fax | 440-439-9775
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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 | 35041778
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License Number State | OH
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