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General NPI Number Information
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NPI Number | 1992283238
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Entity Type | Individual
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Provider Name | SANAH T GOHAR MS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 05/27/2023
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Provider Practice Location Address
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Address Line | 579 CRANBURY RD STE I
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5405
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Country | US
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Telephone | 732-313-5458
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BARKALOW ST
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-1311
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Country | US
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Telephone | 173-240-6820
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00952500
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License Number State | NJ
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