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General NPI Number Information
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NPI Number | 1962768895
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Entity Type | Individual
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Provider Name | SULTAN MAHMOOD BABAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 701 DOCTORS DR SUITE G
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City | KINSTON
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State | NC
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Zip | 28501-1589
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Country | US
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Telephone | 252-522-4446
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Fax | 252-522-4484
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10243800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 2016-01233
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License Number State | NC
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