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General NPI Number Information
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NPI Number | 1154023547
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Entity Type | Individual
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Provider Name | ANAS DABSHA MD, MSC
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Gender | Male
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 264 W 118TH ST
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City | NEW YORK
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State | NY
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Zip | 10026-1620
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Country | US
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Telephone | 212-360-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 6925 4TH AVE FL E15
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City | BROOKLYN
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State | NY
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Zip | 11209-1503
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Country | US
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Telephone | 347-335-4479
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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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