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General NPI Number Information
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NPI Number | 1174911952
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Entity Type | Individual
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Provider Name | POONAM PAMINI JANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 275 HOBART ST
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3396
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Country | US
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Telephone | 732-376-9333
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Fax | 732-293-0139
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Provider Business Mailing Address
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Address Line | 11 GETTY AVE
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City | PATERSON
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State | NJ
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Zip | 07503-2621
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Country | US
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Telephone | 973-754-4200
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Fax | 973-754-4201
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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 | 25MA10951200
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License Number State | NJ
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