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General NPI Number Information
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NPI Number | 1073700381
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Entity Type | Individual
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Provider Name | SAMEERA DAUD-AHMAD MD
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Gender | Female
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 725 RIVER RD STE 106
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City | EDGEWATER
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State | NJ
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Zip | 07020-1170
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Country | US
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Telephone | 201-781-5850
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Fax | 201-781-5850
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Provider Business Mailing Address
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Address Line | 725 RIVER RD STE 106
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City | EDGEWATER
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State | NJ
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Zip | 07020-1170
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Country | US
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Telephone | 201-781-5850
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Fax | 201-781-5850
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA08562600
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License Number State | NJ
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