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General NPI Number Information
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NPI Number | 1801273495
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Entity Type | Individual
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Provider Name | OSAMA BAIG
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Gender | Male
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Dates
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Enumeration Date | 05/03/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 655 AMBOY AVE
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-3159
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Country | US
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Telephone | 732-510-7358
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Fax | 732-387-2490
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Provider Business Mailing Address
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Address Line | 9 KARWATT CT
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City | SAYREVILLE
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State | NJ
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Zip | 08872-2217
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Country | US
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Telephone | 732-675-0123
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Fax | 732-387-2490
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 594522
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1211081
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License Number State | NJ
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