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General NPI Number Information
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NPI Number | 1235593633
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Entity Type | Organization
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Legal Business Name | KIDZ DREAMZ PEDIATRICS, LLC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 521 GREEN ST FL 2 SUITE 521 A
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City | ISELIN
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State | NJ
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Zip | 08830-2618
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Country | US
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Telephone | 732-623-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 579 WOOD AVE
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City | EDISON
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State | NJ
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Zip | 08820-2304
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Country | US
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Telephone | 732-623-9905
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAPNA S NAMBIAR
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Credential | MD
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Telephone | 732-623-9905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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