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General NPI Number Information
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NPI Number | 1912722240
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Entity Type | Individual
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Provider Name | FARJANA MASUD MBBS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 801 N JAMES ST
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City | ROME
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State | NY
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Zip | 13440-3524
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Country | US
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Telephone | 315-533-1600
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Fax | 315-533-1632
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Provider Business Mailing Address
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Address Line | 71 W 44TH ST FL 1
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City | BAYONNE
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State | NJ
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Zip | 07002-2012
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Country | US
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Telephone | 551-430-9445
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P132685
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License Number State | NY
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