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General NPI Number Information
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NPI Number | 1013274034
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Entity Type | Individual
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Provider Name | ATIF SALEEMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2012
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 2360 LAKEWOOD RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1929
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Country | US
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Telephone | 732-719-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 556 JEFFERSON ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1843
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Country | US
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Telephone | 732-318-7915
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35125245
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10046600
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License Number State | NJ
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