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General NPI Number Information
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NPI Number | 1376932731
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Entity Type | Individual
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Provider Name | SYED ALI JAFFARI HIS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 301 HWY 9 NORTH
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-780-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HWY 9 NORTH
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-780-5999
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Fax |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 25MG00093800
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License Number State | NJ
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