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General NPI Number Information
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NPI Number | 1275028607
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Entity Type | Individual
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Provider Name | KINZA SALEEM DO
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 97 W PARKWAY
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1647
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Country | US
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Telephone | 973-831-5155
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Fax | 973-907-1069
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MB10993900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MB10993900
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License Number State | NJ
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