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General NPI Number Information
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NPI Number | 1861554560
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Entity Type | Individual
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Provider Name | JAVED SULEMAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1030
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 14305 HILLSIDE AVE
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City | JAMAICA
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State | NY
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Zip | 11435-3230
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Country | US
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Telephone | 718-297-0440
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Fax | 212-876-1493
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 214616
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 214616
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License Number State | NY
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