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General NPI Number Information
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NPI Number | 1902225683
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Entity Type | Individual
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Provider Name | NOHA GHUSSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 40 FULD ST STE 305
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City | TRENTON
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State | NJ
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Zip | 08638-5247
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Country | US
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Telephone | 609-394-6338
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Fax | 609-394-6328
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Provider Business Mailing Address
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Address Line | 16 GROVE AVE
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City | CEDAR GROVE
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State | NJ
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Zip | 07009-1452
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Country | US
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Telephone | 609-558-4569
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA10208000
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License Number State | NJ
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