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General NPI Number Information
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NPI Number | 1831265826
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Entity Type | Individual
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Provider Name | MOHAMMAD GHAZI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 1 CENTRAL AVENUE GREYS GREYSTONE PARK PSYCHIATRIC HOSPITAL
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City | GREYSTONE PARK
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State | NJ
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Zip | 07950
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Country | US
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Telephone | 973-538-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 14 STEWART PL APT C
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City | FAIR LAWN
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State | NJ
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Zip | 07410
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Country | US
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Telephone | 201-794-2264
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MA03395700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA03395700
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License Number State | NJ
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