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General NPI Number Information
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NPI Number | 1619565942
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Entity Type | Organization
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Legal Business Name | TRUDOC LLC
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Dates
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Enumeration Date | 01/03/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1187 MAIN AVE STE 1F
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City | CLIFTON
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State | NJ
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Zip | 07011-2252
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Country | US
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Telephone | 347-652-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CARTON RD
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6350
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Country | US
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Telephone | 347-652-5576
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. BASSEL NOUMI
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Credential | MD
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Telephone | 347-652-5576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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