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General NPI Number Information
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NPI Number | 1326429614
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Entity Type | Individual
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Provider Name | TYMAZ ADEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 230 E RIDGEWOOD AVE
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City | PARAMUS
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State | NJ
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Zip | 07652-4142
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Country | US
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Telephone | 201-753-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E RIDGEWOOD AVE
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City | PARAMUS
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State | NJ
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Zip | 07652-4142
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Country | US
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Telephone | 201-967-4000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA10500000
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License Number State | NJ
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