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General NPI Number Information
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NPI Number | 1063679447
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Entity Type | Individual
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Provider Name | RAMI TARIQ SARTAWI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 1041 3RD AVE STE 201
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City | NEW YORK
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State | NY
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Zip | 10065-8114
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Country | US
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Telephone | 212-319-3977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2917
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City | PIKEVILLE
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State | KY
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Zip | 41502-2917
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Country | US
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Telephone | 606-218-4530
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Fax | 606-432-6625
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 46303
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME153519
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 284150-01
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License Number State | NY
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