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NPI 1588610851

NPI 1588610851 : IRADJ SHARIM, MD, PA : TRENTON, NJ

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General NPI Number Information
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    NPI Number           |    1588610851
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    Entity Type          |    Organization 
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    Legal Business Name  |    IRADJ SHARIM, MD, PA 
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Dates
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    Enumeration Date     |    05/26/2006
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    Last Update Date     |    08/13/2010
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Provider Practice Location Address
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    Address Line         |    40 FULD ST SUITE 402
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08638-5247
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    Country              |    US
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    Telephone            |    609-393-4911
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    Fax                  |    609-394-6770
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Provider Business Mailing Address
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    Address Line         |    40 FULD ST SUITE 402
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08638-5247
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    Country              |    US
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    Telephone            |    609-393-4911
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    Fax                  |    609-394-6770
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    DR. IRADJ  SHARIM 
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    Credential           |    MD
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    Telephone            |    609-393-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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