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General NPI Number Information
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NPI Number | 1275817439
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Entity Type | Organization
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Legal Business Name | EVAN D. SEHGAL, MD PA
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 777 TERRACE AVENUE SUITE 311
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604
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Country | US
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Telephone | 201-288-4252
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Fax | 201-288-7172
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Provider Business Mailing Address
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Address Line | 777 TERRACE AVENUE SUITE 311
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604
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Country | US
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Telephone | 201-288-4252
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Fax | 201-288-7172
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EVAN D SEHGAL
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Credential | MD
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Telephone | 201-288-4252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA051350
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License Number State | NJ
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