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General NPI Number Information
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NPI Number | 1245528629
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Entity Type | Individual
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Provider Name | FAISAL NAGARWALA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1005 CLIFTON AVE STE 201
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City | CLIFTON
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State | NJ
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Zip | 07013-3523
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Country | US
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Telephone | 732-491-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 218 BENNINGTON TER
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City | PARAMUS
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State | NJ
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Zip | 07652-1334
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Country | US
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Telephone | 732-491-3500
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10328100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 262326
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License Number State | NY
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