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General NPI Number Information
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NPI Number | 1386774628
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Entity Type | Organization
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Legal Business Name | M H AL - ASHA MD PA
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1930 STATE ROUTE 35 SUITE 1 ALLAIRE PLAZA
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-3538
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Country | US
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Telephone | 732-449-2212
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Fax | 732-974-9888
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Provider Business Mailing Address
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Address Line | 1930 STATE ROUTE 35 SUITE 1 ALLAIRE PLAZA
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-3538
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Country | US
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Telephone | 732-449-2212
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Fax | 732-974-9888
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Authorized Official
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Title or Position | PHYSICAN
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Name | DR. MOHAMMAD H AL-ASHA
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Credential | M.D.
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Telephone | 732-449-2212
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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 | 25MA02970800
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License Number State | NJ
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