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General NPI Number Information
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NPI Number | 1134773070
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Entity Type | Individual
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Provider Name | SUMRA IQBAL MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 190 ROUTE 31 STE 100
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5773
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Country | US
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Telephone | 908-788-6654
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Fax |
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Provider Business Mailing Address
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Address Line | 43 W 7TH ST
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City | BAYONNE
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State | NJ
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Zip | 07002-2416
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Country | US
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Telephone | 201-895-8806
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Fax |
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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 | 25MA11794200
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License Number State | NJ
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