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General NPI Number Information
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NPI Number | 1174649966
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Entity Type | Individual
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Provider Name | RANY SAMIR AL HAJ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1500 ALLAIRE AVE SUITE 203 B
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City | OCEAN
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State | NJ
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Zip | 07712-7603
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Country | US
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Telephone | 732-660-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 ALLAIRE AVE STE 203B
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City | OCEAN
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State | NJ
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Zip | 07712-7603
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Country | US
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Telephone | 732-660-0011
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA07643300
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License Number State | NJ
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