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General NPI Number Information
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NPI Number | 1306467014
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Entity Type | Individual
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Provider Name | NADIYAH RAHAMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 2840 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-4851
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Country | US
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Telephone | 882-445-3738
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Fax |
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Provider Business Mailing Address
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Address Line | 2840 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-4851
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Country | US
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Telephone | 888-244-5373
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 757715
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9019
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NJ14868500
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License Number State | NJ
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