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General NPI Number Information
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NPI Number | 1164682274
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Entity Type | Organization
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Legal Business Name | SKENDER MURTEZANI, MD
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 5516 MAIN ST BOTTOM FLOOR
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City | FLUSHING
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State | NY
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Zip | 11355-5098
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Country | US
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Telephone | 718-461-3065
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Fax | 718-461-3590
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Provider Business Mailing Address
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Address Line | 1434 110TH ST 4G
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City | FLUSHING
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State | NY
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Zip | 11356-1446
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Country | US
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Telephone | 718-674-4646
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Fax | 718-461-3590
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SKENDER MURTEZANI
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Credential | M.D.
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Telephone | 718-461-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 236980
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License Number State | NY
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