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General NPI Number Information
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NPI Number | 1063740751
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Entity Type | Organization
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Legal Business Name | SAMMY G. NAKHLA, M.D., P.C.
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 123 MIDDLE HWY
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City | EAST HAMPTON
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State | NY
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Zip | 11937-3813
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Country | US
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Telephone | 917-686-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 123 MIDDLE HIGHWAY
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City | EAST HAMPTON
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State | NY
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Zip | 11937
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Country | US
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Telephone | 917-686-7886
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMMY G NAKHLA
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Credential | M.D.
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Telephone | 917-686-7886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 245824-1
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License Number State | NY
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