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General NPI Number Information
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NPI Number | 1760929392
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Entity Type | Individual
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Provider Name | SAMRANA AREFEEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 2090 HIGHWAY 27
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City | EDISON
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State | NJ
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Zip | 08817-3372
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Country | US
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Telephone | 732-662-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 HIGHWAY 27
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City | EDISON
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State | NJ
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Zip | 08817-3372
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10055900
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License Number State | NJ
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