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General NPI Number Information
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NPI Number | 1699984583
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Entity Type | Individual
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Provider Name | SAPNA SHIBHU NAMBIAR MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 521 GREEN ST FL 2
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City | ISELIN
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State | NJ
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Zip | 08830-2618
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Country | US
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Telephone | 732-623-9905
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Fax | 732-983-5484
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Provider Business Mailing Address
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Address Line | 521 GREEN ST FL 2
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City | ISELIN
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State | NJ
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Zip | 08830-2618
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Country | US
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Telephone | 732-623-9905
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Fax | 732-983-5484
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA09554900
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License Number State | NJ
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