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General NPI Number Information
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NPI Number | 1356544332
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Entity Type | Individual
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Provider Name | NAUSHAD R JESSANI MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 121 N WAYNE AVE SUITE # 300
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City | WAYNE
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State | PA
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Zip | 19087-3542
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Country | US
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Telephone | 610-975-9435
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Fax | 610-975-9851
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Provider Business Mailing Address
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Address Line | 121 N. WAYNE AVE SUITE # 300
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City | WAYNE
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State | PA
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Zip | 19087
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Country | US
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Telephone | 610-975-9435
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Fax | 610-975-9851
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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 | MD 062610 L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD - 062610 L
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License Number State | PA
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