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General NPI Number Information
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NPI Number | 1922533165
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Entity Type | Individual
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Provider Name | SANA NAEEM M.D
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Gender | Female
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 2698 COUNTY RD 516 STE E1
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-2305
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Country | US
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Telephone | 848-254-5893
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Fax |
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Provider Business Mailing Address
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Address Line | 66 WESTLEY RD
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3505
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Country | US
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Telephone | 732-500-8774
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA10077100
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License Number State | NJ
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