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General NPI Number Information
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NPI Number | 1023083953
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Entity Type | Individual
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Provider Name | SYED FAHIM ALAM MD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 107 E. MT. PLEASANT AVE SUITE 107
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-535-3999
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Fax | 973-535-3222
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Provider Business Mailing Address
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Address Line | 19 OVERLOOK RD
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City | WHITEHOUSE STATION
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State | NJ
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Zip | 08889-3370
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Country | US
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Telephone | 908-575-7332
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Fax | 908-575-7336
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA07915700
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License Number State | NJ
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