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General NPI Number Information
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NPI Number | 1245419365
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Entity Type | Organization
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Legal Business Name | BISAN MEDICAL INC
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1029 MAIN ST 2ND FLOOR
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City | PATERSON
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State | NJ
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Zip | 07503-2200
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Country | US
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Telephone | 973-345-0444
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Fax | 973-345-0422
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Provider Business Mailing Address
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Address Line | 1029 MAIN ST 2ND FLOOR
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City | PATERSON
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State | NJ
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Zip | 07503-2200
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Country | US
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Telephone | 973-345-0444
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Fax | 973-345-0422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IMAD SAEDELDINE
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Credential | MD
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Telephone | 973-345-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NJ
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