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General NPI Number Information
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NPI Number | 1376619817
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Entity Type | Organization
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Legal Business Name | MEHDI T. SHAARI,M.D.,P.C.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 413 60TH ST
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2211
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Country | US
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Telephone | 201-867-5556
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Fax | 201-867-5566
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Provider Business Mailing Address
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Address Line | 413 60TH ST
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2211
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Country | US
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Telephone | 201-867-5556
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Fax | 201-867-5566
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEHDI T. SHAARI
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Credential | M.D.
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Telephone | 201-867-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MA024208
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License Number State | NJ
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