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General NPI Number Information
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NPI Number | 1184207656
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Entity Type | Individual
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Provider Name | FERRUKH SHAMIM GHAURI DO
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Gender | Male
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2518 QUEENS PLZ S
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4101
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Country | US
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Telephone | 646-647-1261
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 AVENUE OF THE AMERICAS FL 8
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City | NEW YORK
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State | NY
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Zip | 10105-0018
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Country | US
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Telephone | 908-588-3635
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 331520
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License Number State | NY
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