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General NPI Number Information
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NPI Number | 1578596508
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Entity Type | Individual
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Provider Name | ROBERT TASSAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 260 OLD HOOK RD SUITE 301
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City | WESTWOOD
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State | NJ
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Zip | 07675-3123
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Country | US
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Telephone | 201-383-4840
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Fax | 201-383-4824
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Provider Business Mailing Address
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Address Line | 92 2ND ST
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City | HACKENSACK
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State | NJ
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Zip | 07601-2191
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Country | US
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Telephone |
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25MA07452600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 25MA07452600
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License Number State | NJ
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