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NPI 1104492982

NPI 1104492982 : AMIN ALMARDINI : BETHLEHEM, PA

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General NPI Number Information
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    NPI Number           |    1104492982
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    Entity Type          |    Individual 
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    Provider Name        |    AMIN ALMARDINI
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/02/2021
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    Last Update Date     |    08/27/2024
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Provider Practice Location Address
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    Address Line         |    801 OSTRUM ST 
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    City                 |    BETHLEHEM
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    State                |    PA
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    Zip                  |    18015-1000
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    Country              |    US
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    Telephone            |    570-645-1950
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    Fax                  |    570-645-1955
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Provider Business Mailing Address
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    Address Line         |    801 OSTRUM ST 
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    City                 |    BETHLEHEM
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    State                |    PA
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    Zip                  |    18015-1000
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    Country              |    US
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    Telephone            |    570-645-1950
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    Fax                  |    570-645-1955
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD483223
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    25MA12085600
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    License Number State |    NJ
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