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General NPI Number Information
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NPI Number | 1881149540
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Entity Type | Individual
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Provider Name | NICKY AMIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 FRANKLIN ST APT E103
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5443
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Country | US
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Telephone | 646-309-2960
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA10600800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA10600800
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License Number State | NJ
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