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General NPI Number Information
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NPI Number | 1235712530
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Entity Type | Individual
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Provider Name | DORSA SEIMAA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 515 VALLEY ST
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-1388
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Country | US
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Telephone | 908-663-2929
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Fax | 908-219-6213
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Provider Business Mailing Address
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Address Line | 515 VALLEY ST STE 203
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-4300
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Country | US
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Telephone | 267-831-3043
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | L8-0010492
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | SP024403
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01134100
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License Number State | NJ
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