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General NPI Number Information
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NPI Number | 1831704956
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Entity Type | Individual
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Provider Name | ZIA AHMED ZAIDI
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Gender | Male
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 105 RAIDER BLVD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1528
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Country | US
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Telephone | 908-221-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 561 STATE ROUTE 24
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City | CHESTER
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State | NJ
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Zip | 07930-2907
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Country | US
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Telephone | 908-656-0595
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ01051300
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License Number State | NJ
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