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General NPI Number Information
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NPI Number | 1750419958
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Entity Type | Individual
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Provider Name | SURAJ KUMAR SAGGAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 200 GRAND AVE SUITE 102
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4371
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Country | US
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Telephone | 201-503-0660
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Fax | 201-503-0685
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Provider Business Mailing Address
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Address Line | 200 GRAND AVE SUITE 102
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-503-0660
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Fax | 201-503-0685
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MB07826500
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License Number State | NJ
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