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General NPI Number Information
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NPI Number | 1841486503
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Entity Type | Organization
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Legal Business Name | AMAN VAZIR LLC
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 999 MCBRIDE AVE SUITE 201B
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2570
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Country | US
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Telephone | 973-256-0287
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Fax | 973-256-2876
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Provider Business Mailing Address
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Address Line | 999 MCBRIDE AVE SUITE 201B
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2570
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Country | US
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Telephone | 973-256-0287
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Fax | 973-256-2876
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMANULLAH VAZIR I
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Credential | M.D.
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Telephone | 973-256-0287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MA55076
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MA55076
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA55076
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MA55076
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License Number State | NJ
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