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General NPI Number Information
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NPI Number | 1992831929
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Entity Type | Individual
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Provider Name | GOLAM G. NOAZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 INDUSTRIAL WAY WEST SUITE C
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City | EATONTOWN
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State | NJ
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Zip | 07724-2255
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Country | US
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Telephone | 732-542-6451
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Fax | 732-542-1654
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Provider Business Mailing Address
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Address Line | 30 BUCKINGHAM DRIVE
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City | OCEAN
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State | NJ
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Zip | 07712-3200
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Country | US
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Telephone | 732-542-6738
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Fax | 732-542-1654
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA02966700
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License Number State | NJ
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