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General NPI Number Information
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NPI Number | 1013576552
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Entity Type | Organization
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Legal Business Name | HEALTH SHARED PHYSICIANS, PLLC
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Dates
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Enumeration Date | 06/09/2019
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 76 BELMONT AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-6719
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Country | US
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Telephone | 718-395-6444
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Fax | 718-676-9557
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Provider Business Mailing Address
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Address Line | PO BOX 260108
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City | BELLEROSE
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State | NY
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Zip | 11426-0108
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Country | US
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Telephone | 718-395-6444
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Fax | 718-676-9557
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Authorized Official
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Title or Position | OWNER/CEO
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Name | IJAZ AHMAD
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Credential | MD
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Telephone | 718-789-4333
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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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