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General NPI Number Information
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NPI Number | 1043830920
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Entity Type | Individual
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Provider Name | LAMEESAH AHMED DO
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 45 READE PL
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3947
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Country | US
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Telephone | 845-454-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 19 EAST DR
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City | WOODBURY
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State | NY
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Zip | 11797-2102
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Country | US
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Telephone | 516-348-3964
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 917179634
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 325614
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License Number State | NY
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