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General NPI Number Information
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NPI Number | 1134823701
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Entity Type | Individual
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Provider Name | AREEBA MATTAIR MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 169 RIVERSIDE DR
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City | BINGHAMTON
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State | NY
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Zip | 13905-4246
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Country | US
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Telephone | 607-821-9271
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Fax |
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Provider Business Mailing Address
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Address Line | 13 MICHAEL RD
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City | BINGHAMTON
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State | NY
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Zip | 13901-5330
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Country | US
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Telephone | 713-453-9546
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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 |
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License Number State |
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