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General NPI Number Information
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NPI Number | 1649711433
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Entity Type | Individual
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Provider Name | JODI LOUISA HADEED MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 8900 VAN WYCK EXPY
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City | JAMAICA
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State | NY
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Zip | 11418-2832
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Country | US
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Telephone | 718-206-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 85 WILSON AVENUE
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 347-421-1033
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 331810
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA10743700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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