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General NPI Number Information
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NPI Number | 1790623965
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Entity Type | Individual
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Provider Name | SYED A SULTANI RVS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 385 TREMONT AVE
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1023
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Country | US
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Telephone | 862-216-8859
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Fax |
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Provider Business Mailing Address
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Address Line | 53 DEER PATH DR
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City | FLANDERS
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State | NJ
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Zip | 07836-9505
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Country | US
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Telephone | 862-216-8859
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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 | 246XC2903X
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Taxonomy Name | Vascular Specialist/Technologist Cardiovascular
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License Number | 00106356
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License Number State | NJ
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