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General NPI Number Information
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NPI Number | 1659824431
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Entity Type | Organization
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Legal Business Name | RABIA S AWAN MD, PA
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 201 LYONS AVE STE D-3
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City | NEWARK
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State | NJ
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Zip | 07112-2027
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Country | US
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Telephone | 739-268-2289
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Fax | 973-923-2061
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Provider Business Mailing Address
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Address Line | 101 ROXY AVE
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City | EDISON
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State | NJ
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Zip | 08820-1939
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Country | US
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Telephone | 973-926-8228
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Fax | 973-923-2061
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Authorized Official
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Title or Position | PRESIDENT
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Name | RABIA SULTANA AWAN
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Credential | M.D
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Telephone | 973-926-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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