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General NPI Number Information
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NPI Number | 1013390855
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Entity Type | Individual
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Provider Name | BISMAH NAJEEB M.D
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Gender | Female
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 505 RARITAN AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-2901
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Country | US
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Telephone | 732-393-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125067096
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License Number State | IL
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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 | MD465082
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD465082
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA11977800
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License Number State | NJ
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