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General NPI Number Information
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NPI Number | 1396770426
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Entity Type | Individual
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Provider Name | SAMMY I MASRI MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 30 W CENTURY RD
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City | PARAMUS
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State | NJ
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Zip | 07652-1433
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Country | US
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Telephone | 201-986-1003
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Fax | 201-986-1680
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Provider Business Mailing Address
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Address Line | 30 W CENTURY RD
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City | PARAMUS
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State | NJ
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Zip | 07652-1433
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Country | US
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Telephone | 201-986-1003
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Fax | 201-986-1680
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 25MA07567400
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License Number State | NJ
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