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General NPI Number Information
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NPI Number | 1124295837
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Entity Type | Organization
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Legal Business Name | V M AMIN MD PA
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 333 OLD HOOK ROAD SUITE 105
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City | WESTWOOD
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State | NJ
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Zip | 07675
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Country | US
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Telephone | 201-358-0611
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Fax | 201-722-0291
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Provider Business Mailing Address
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Address Line | 333 OLD HOOK ROAD SUITE 105
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City | WESTWOOD
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State | NJ
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Zip | 07675
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Country | US
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Telephone | 201-358-0611
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Fax | 201-722-0291
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Authorized Official
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Title or Position | OWNER SURGEON
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Name | DR. V M AMIN
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Credential |
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Telephone | 201-358-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA02799600
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License Number State | NJ
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