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General NPI Number Information
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NPI Number | 1013053230
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Entity Type | Individual
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Provider Name | SADRUDDIN B HEMANI MD
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 21 HIGHLAND AVE SUITE 10
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3872
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Country | US
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Telephone | 978-462-3166
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Fax | 978-462-5168
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Provider Business Mailing Address
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Address Line | 21 HIGHLAND AVE SUITE 10
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3872
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Country | US
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Telephone | 978-462-3166
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Fax | 978-462-5168
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 35461
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License Number State | MA
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