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General NPI Number Information
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NPI Number | 1053175000
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Entity Type | Organization
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Legal Business Name | MAA MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 400 FRANKLIN TPKE STE 104
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City | MAHWAH
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State | NJ
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Zip | 07430-3517
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Country | US
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Telephone | 201-995-1005
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Fax | 201-995-1007
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Provider Business Mailing Address
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Address Line | 459 OREGON ST
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City | PARAMUS
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State | NJ
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Zip | 07652-5623
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Country | US
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Telephone | 201-995-1005
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Fax | 201-995-1007
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Authorized Official
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Title or Position | PROVIDER
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Name | MADEEHA SHAHZADI
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Credential |
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Telephone | 973-816-6796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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