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General NPI Number Information
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NPI Number | 1275672511
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Entity Type | Organization
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Legal Business Name | HERNEET SAHANI MD PA
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 539 BLOOMFIELD AVE
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City | NEWARK
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State | NJ
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Zip | 07107
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Country | US
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Telephone | 973-497-2420
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Fax | 973-497-2421
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Provider Business Mailing Address
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Address Line | PO BOX 23
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City | LIVINGSTON
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State | NJ
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Zip | 07039-0023
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Country | US
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Telephone | 973-497-2420
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Fax | 973-912-0024
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HERNEET SAHANI
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Credential | MD
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Telephone | 973-497-2420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA06180300
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License Number State | NJ
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