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General NPI Number Information
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NPI Number | 1154964773
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Entity Type | Individual
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Provider Name | GERARD G NAHUM MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2019
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Last Update Date | 10/27/2019
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Provider Practice Location Address
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Address Line | 29 CANAL XING
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City | LAKE HOPATCONG
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State | NJ
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Zip | 07849-2419
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Country | US
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Telephone | 973-262-7555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | WAYNE
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State | NJ
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Zip | 07474-0159
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Country | US
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Telephone | 240-535-7882
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 9800983
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G56447
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License Number State | CA
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