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General NPI Number Information
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NPI Number | 1598293672
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Entity Type | Individual
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Provider Name | MR. BESMIR ZGJANI
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Gender | Male
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 301 MOUNT HOPE AVE STE 2005
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City | ROCKAWAY
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State | NJ
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Zip | 07866-2128
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Country | US
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Telephone | 973-668-3579
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Fax |
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Provider Business Mailing Address
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Address Line | 68 SKYLINE LAKE DR
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City | RINGWOOD
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State | NJ
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Zip | 07456-1917
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Country | US
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Telephone | 973-668-3579
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 31TD00393800
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License Number State | NJ
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