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General NPI Number Information
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NPI Number | 1902057714
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Entity Type | Organization
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Legal Business Name | SYEDA I HASAN, M.D.P.C
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 28 BEECHWOOD RD STE 4
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City | SUMMIT
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State | NJ
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Zip | 07901-2532
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Country | US
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Telephone | 908-608-1414
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Fax | 908-608-9441
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Provider Business Mailing Address
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Address Line | 28 BEECHWOOD RD STE 4
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City | SUMMIT
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State | NJ
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Zip | 07901-2532
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Country | US
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Telephone | 908-608-1414
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Fax | 908-608-9441
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Authorized Official
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Title or Position | M.D.
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Name | DR. SYEDA I HASAN
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Credential |
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Telephone | 908-608-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MA06389200
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License Number State | NJ
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