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General NPI Number Information
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NPI Number | 1508816729
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Entity Type | Individual
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Provider Name | S MANZOOR ABIDI MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 504 ROUTE 38 E
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City | MAPLE SHADE
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State | NJ
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Zip | 08052
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Country | US
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Telephone | 856-866-0466
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Fax | 856-727-1483
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Provider Business Mailing Address
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Address Line | 504 ROUTE 38 E
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City | MAPLE SHADE
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State | NJ
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Zip | 08052
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Country | US
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Telephone | 856-866-0466
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Fax | 856-727-1483
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MA025082
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License Number State | NJ
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