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General NPI Number Information
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NPI Number | 1821353244
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Entity Type | Individual
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Provider Name | AMIR MOHAMMAD GALAL EL-DIN LMSW
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 25 CLIFTON AVE APT D1013
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City | NEWARK
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State | NJ
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Zip | 07104-1842
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Country | US
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Telephone | 973-482-1025
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Fax | 973-482-1025
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Provider Business Mailing Address
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Address Line | 25 CLIFTON AVE APT D1013
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City | NEWARK
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State | NJ
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Zip | 07104-1842
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Country | US
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Telephone | 973-482-1025
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Fax | 973-482-1025
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 070233-1
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License Number State | NY
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