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General NPI Number Information
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NPI Number | 1174449888
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Entity Type | Organization
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Legal Business Name | LINCOLN MEDICAL AND MENTAL HEALTH
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 234 E 149TH ST RM 820
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City | BRONX
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State | NY
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Zip | 10451-5504
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Country | US
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Telephone | 646-484-1247
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Fax | 718-579-5874
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Provider Business Mailing Address
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Address Line | 326 E 148TH ST
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City | BRONX
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State | NY
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Zip | 10451-5770
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Country | US
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Telephone |
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Fax | 718-579-5874
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMRU RESHAD SHAFI
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Credential | MD
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Telephone | 646-484-1247
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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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