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General NPI Number Information
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NPI Number | 1245184035
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Entity Type | Individual
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Provider Name | ASHRAF ABDELMALAK
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Gender | Male
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 180 TICES LN
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1345
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Country | US
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Telephone | 201-375-0805
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Fax |
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Provider Business Mailing Address
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Address Line | 192 MILLTOWN RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2959
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Country | US
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Telephone | 201-375-0805
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | OM6819
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License Number State | NJ
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