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General NPI Number Information
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NPI Number | 1457608812
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Entity Type | Individual
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Provider Name | SEEMA GHANSHYAM AMIN D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2012
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 89 FRENCH ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1935
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Country | US
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Telephone | 732-235-5699
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Fax |
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR FL 4
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MB12006300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 278225
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | 25MB12006300
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License Number State | NJ
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