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General NPI Number Information
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NPI Number | 1689493553
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Entity Type | Organization
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Legal Business Name | MEDPAL MD LLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 151 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6016
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Country | US
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Telephone | 973-656-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 THE AMERICAN RD UNIT 418
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2496
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Country | US
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Telephone | 516-301-0748
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BEENISH FAHEEM
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Credential | MD
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Telephone | 516-301-0748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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