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General NPI Number Information
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NPI Number | 1942671474
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Entity Type | Organization
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Legal Business Name | ALI SHERZOY MD LLC
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 334 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-569-0920
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Fax | 201-541-6938
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Provider Business Mailing Address
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Address Line | 4 RIDGE ROAD
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City | TENAFLY
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State | NJ
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Zip | 07670
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Country | US
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Telephone | 914-400-6173
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Fax | 201-541-6938
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Authorized Official
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Title or Position | OWNER
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Name | ALI SHERZOY
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Credential | MD
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Telephone | 914-400-6173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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