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General NPI Number Information
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NPI Number | 1083819593
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Entity Type | Individual
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Provider Name | JAMAL AL TAANI MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-826-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 144 GENESEE ST FL 3
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City | BUFFALO
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State | NY
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Zip | 14203-1560
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Country | US
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Telephone | 716-206-1510
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Fax | 716-961-4368
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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 | 55667
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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 | 35.090765
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 335057
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.090765
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 109430
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License Number State | GA
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