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General NPI Number Information
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NPI Number | 1750657276
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Entity Type | Organization
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Legal Business Name | NASSIF E. DAWLABANI MD, PA
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 908 WEST STATE ST.
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City | TRENTON
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State | NJ
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Zip | 08618-5328
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Country | US
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Telephone | 609-503-5540
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Fax |
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Provider Business Mailing Address
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Address Line | 908 WEST STATE ST.
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City | TRENTON
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State | NJ
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Zip | 08618-5328
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Country | US
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Telephone | 609-503-5540
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Fax | 609-503-5541
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Authorized Official
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Title or Position | PRESIDENT
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Name | NASSIF ELIAS DAWLABANI
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Credential | M.D.
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Telephone | 609-503-5540
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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 | 25MA025798800
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License Number State | NJ
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