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General NPI Number Information
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NPI Number | 1386624864
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Entity Type | Individual
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Provider Name | STEVEN GARY SAFRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 132 FRANKLIN CORNER RD SUITE A1
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2523
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Country | US
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Telephone | 609-896-3931
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Fax | 609-895-1959
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Provider Business Mailing Address
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Address Line | 132 FRANKLIN CORNER RD SUITE A1
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2523
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Country | US
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Telephone | 609-896-3931
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Fax | 609-895-1959
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA058226
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License Number State | NJ
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