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General NPI Number Information
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NPI Number | 1710252259
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Entity Type | Individual
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Provider Name | MRS. NUZHAT FATMA MIRZA
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Gender | Female
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 281 9TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-5701
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Country | US
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Telephone | 212-244-6426
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Fax |
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Provider Business Mailing Address
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Address Line | 38 PENN LYLE RD
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City | PRINCETON JCT
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State | NJ
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Zip | 08550-1647
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Country | US
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Telephone | 609-275-6478
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 003956-1
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License Number State | NY
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