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General NPI Number Information
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NPI Number | 1366442097
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Entity Type | Individual
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Provider Name | MOHAMMAD JAVAD SAADAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 105 W CHURCH ST SUITE 1
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City | SOMERSET
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State | PA
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Zip | 15501-2251
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Country | US
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Telephone | 814-445-5099
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Fax | 814-444-1852
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Provider Business Mailing Address
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Address Line | 105 W CHURCH ST SUITE 1
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City | SOMERSET
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State | PA
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Zip | 15501-2251
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Country | US
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Telephone | 814-445-5099
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Fax | 814-444-1852
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD047643L
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License Number State | PA
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