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General NPI Number Information
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NPI Number | 1952310658
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Entity Type | Individual
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Provider Name | EVELINE NABIL ASSAD MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 CORNWALL COURT SUITES A & B
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-5550
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Fax | 732-390-0550
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Provider Business Mailing Address
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Address Line | 1 STILES LN
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City | FRANKLIN PARK
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State | NJ
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Zip | 08823-1749
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Country | US
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Telephone | 732-951-0814
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA03821100
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License Number State | NJ
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