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General NPI Number Information
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NPI Number | 1093711947
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Entity Type | Individual
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Provider Name | IFTEKHAR KADRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 372 VALLEY RD
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5303
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Country | US
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Telephone | 973-736-2600
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Fax | 973-736-8355
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Provider Business Mailing Address
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Address Line | 15 CHAPEL HILL RD
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City | SHORT HILLS
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State | NJ
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Zip | 07078-1211
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Country | US
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Telephone | 973-736-2600
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Fax | 973-736-8355
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA43002
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA43002
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License Number State | NJ
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