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General NPI Number Information
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NPI Number | 1174784953
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Entity Type | Organization
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Legal Business Name | ALDAD MEDICAL PC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 200 S 1ST ST
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City | ANN ARBOR
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State | MI
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Zip | 48104-1306
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Country | US
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Telephone | 516-505-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 510 HEMPSTEAD TPKE RM 203
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-1152
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Country | US
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Telephone | 516-559-4041
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMIR ALDAD
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Credential | MD
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Telephone | 516-505-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 157937
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License Number State | NY
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