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General NPI Number Information
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NPI Number | 1497374086
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Entity Type | Individual
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Provider Name | MUHAMMAD A JAFFARI DO
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Gender | Male
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 39 WOODLAWN AVE
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3214
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Country | US
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Telephone | 718-299-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 39 WOODLAWN AVE
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City | MIDDLETOWN
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-842-8405
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MB11761200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 312659
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 312659
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS21496
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS21496
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License Number State | PA
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