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General NPI Number Information
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NPI Number | 1184244709
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Entity Type | Individual
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Provider Name | ABDULLAH MOHAMMED ALANAZI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 345 E 37TH ST
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City | NEW YORK CITY
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State | NY
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Zip | 10016
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Country | US
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Telephone | 646-754-8642
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Fax |
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Provider Business Mailing Address
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Address Line | 7025-RASIDIBN AL KHANNINI
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City | RIYADH
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State | RIYADH
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Zip | 14816
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Country | SA
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Telephone |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 304047
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License Number State | NY
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