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General NPI Number Information
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NPI Number | 1366693830
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Entity Type | Individual
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Provider Name | SAUM AMIR RAHIMI MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 125 PATERSON ST SUITE 4100
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1962
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Country | US
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Telephone | 732-235-8770
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Fax | 732-235-8538
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Provider Business Mailing Address
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Address Line | 66 W GILBERT ST 2ND FLOOR
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4947
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Country | US
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Telephone | 732-212-0051
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Fax | 732-212-0713
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MA08557900
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License Number State | NJ
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