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General NPI Number Information
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NPI Number | 1487850368
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Entity Type | Individual
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Provider Name | MAHMOOD A SINDHU O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 2787 JOHN F KENNEDY BLVD STE A14
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City | JERSEY CITY
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State | NJ
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Zip | 07306-5531
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Country | US
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Telephone | 201-239-8007
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Fax | 201-239-8200
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Provider Business Mailing Address
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Address Line | 2787 JOHN F KENNEDY BLVD SUITE A9
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City | JERSEY CITY
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State | NJ
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Zip | 07306-5531
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Country | US
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Telephone | 201-239-8007
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Fax | 201-659-0344
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00609200
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License Number State | NJ
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