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General NPI Number Information
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NPI Number | 1588750665
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Entity Type | Individual
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Provider Name | NAZIR ALAM BRELVI O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40 INTERNATIONAL DR S
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City | FLANDERS
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State | NJ
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Zip | 07836-4106
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Country | US
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Telephone | 973-347-4225
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Fax | 973-347-4028
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Provider Business Mailing Address
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Address Line | 37 SANDPIPER DR
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-3048
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Country | US
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Telephone | 973-347-4225
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Fax | 973-347-4028
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 05020
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License Number State | NJ
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