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General NPI Number Information
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NPI Number | 1427821545
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Entity Type | Organization
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Legal Business Name | NABILA LLC
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 371 HOES LANE SUITE 200
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4143
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Country | US
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Telephone | 732-858-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 371 HOES LANE SUITE 200
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4143
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Country | US
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Telephone | 732-858-0656
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SAMRAH WASEEM
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Credential | MD
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Telephone | 732-858-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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