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General NPI Number Information
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NPI Number | 1841662707
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Entity Type | Organization
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Legal Business Name | SIGMA II INCORPORATED
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 147 HAMILTON AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-5240
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Country | US
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Telephone | 973-594-0808
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Fax | 973-594-0508
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Provider Business Mailing Address
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Address Line | 147 HAMILTON AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-5240
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Country | US
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Telephone | 973-594-0808
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Fax | 973-594-0508
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN SABIDO
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Credential | MD
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Telephone | 973-594-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 25MA07696900
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License Number State | NJ
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