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General NPI Number Information
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NPI Number | 1467895011
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Entity Type | Individual
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Provider Name | SARAH JANE FUZESI MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2013
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 75 E NORTHFIELD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4532
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Country | US
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Telephone | 973-404-9945
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Fax |
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Provider Business Mailing Address
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Address Line | 45 RENSSELAER RD
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City | ESSEX FELLS
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State | NJ
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Zip | 07021-1403
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Country | US
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Telephone | 973-219-6881
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 304242
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 25MA11091500
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License Number State | NJ
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