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General NPI Number Information
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NPI Number | 1366655581
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Entity Type | Organization
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Legal Business Name | NADER K. MISHREKI,MD,MPH,FAAP
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 74 W 35TH ST
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City | BAYONNE
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State | NJ
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Zip | 07002-2829
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Country | US
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Telephone | 201-437-8007
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Fax | 201-437-8003
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Provider Business Mailing Address
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Address Line | 74 W 35TH ST
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City | BAYONNE
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State | NJ
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Zip | 07002-2829
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Country | US
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Telephone | 201-437-8007
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Fax | 201-437-8003
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Authorized Official
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Title or Position | OWNER
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Name | DR. NADER KAMEEL MISHREKI
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Credential | MD
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Telephone | 201-437-8007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number |
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License Number State |
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