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General NPI Number Information
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NPI Number | 1568849438
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Entity Type | Individual
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Provider Name | SHAIGAN JAVED IQBAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2-22 BANTA PL
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City | FAIR LAWN
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State | NJ
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Zip | 07410-3058
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Country | US
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Telephone | 201-509-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 BROAD ST STE 250
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-3066
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Country | US
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Telephone | 877-532-7837
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA10831100
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License Number State | NJ
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