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General NPI Number Information
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NPI Number | 1548509201
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Entity Type | Organization
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Legal Business Name | PARSIPPANY ENDOCRINE LLC
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 245 BALDWIN RD SUITE 107
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City | PARSIPPANY
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State | NJ
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Zip | 07054-7502
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Country | US
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Telephone | 973-402-1477
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Fax | 973-402-1488
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Provider Business Mailing Address
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Address Line | 245 BALDWIN RD SUITE 107
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City | PARSIPPANY
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State | NJ
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Zip | 07054-7502
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Country | US
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Telephone | 973-402-1477
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Fax | 973-402-1488
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | SARAH KHAN
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Credential | M.D.
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Telephone | 973-402-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA07622900
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License Number State | NJ
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