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General NPI Number Information
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NPI Number | 1487728291
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Entity Type | Individual
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Provider Name | MAJD LOULOU MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER WAY FL 4
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2300
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Country | US
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Telephone | 609-365-6200
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Fax | 609-926-4311
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Provider Business Mailing Address
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Address Line | 396 BROADWAY MID HUDSON PHYSICIANS, PC
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City | KINGSTON
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State | NY
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Zip | 12401-4626
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Country | US
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Telephone | 845-331-3131
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Fax | 845-334-2898
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 242168
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08542700
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License Number State | NJ
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